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我院1982年1月至1994年12月共收治35岁以下女性乳癌90例,占同期女性乳癌总例数的9.33%。通过临床分析,我们认为本组病人有易误诊、病期晚、恶性程度高、腋淋巴结转移率高、发展快及预后差等特点,应提高对青年女性发生乳癌的警惕性。对乳腺肿物最有效的确诊方法是针吸细胞学检查。我们建议行乳癌根治术,并常规围手术期化疗,然后根据临床分期、分化程度、激素受体测定情况的不同选择进一步的辅助治疗措施。
From January 1982 to December 1994, 90 cases of women with breast cancer under 35 years of age were admitted to our hospital, accounting for 9.33% of the total number of women with breast cancer in the same period. Through clinical analysis, we believe that this group of patients are often misdiagnosed, late stage, high degree of malignancy, high rate of axillary lymph node metastasis, rapid development, and poor prognosis, and should be alert to the occurrence of breast cancer in young women. The most effective diagnostic method for breast masses is needle aspiration cytology. We recommend radical mastectomy and conventional perioperative chemotherapy, and then choose further adjuvant measures based on clinical stage, differentiation, and hormone receptor measurements.