妊娠哺乳期乳腺癌（附38例报告）

Breast Cancer During Pregnancy or Lactation (with a Report of 38 Cases Attached)

本文报告我院１９８４年１月～１９９２年１２月收治的３８例妊娠或哺乳期乳腺癌。其中Ⅲ、Ⅳ期２７例（７１．１％），腋淋巴结癌转移３１例（８１．５％），误诊３０例（７８．９％），３年及５年生存率分别为７０．３％和３７．５％。本组病人年轻，首发症状仍为乳腺肿块，针吸细胞学检查或切除活检是行之有效的确诊方法。本文对误诊原因和治疗方法等问题进行了探讨。

This article reports that from Jan. 1984 40 Dec. 1992, 38 cases of breast cancer during pregnancy or lactation were admitted in our hospital,accounting for 2.4% of the total number of breast-cancer cases during the same period. Among these 38 patients,Stage Ⅲ andStage Ⅳ were seen in 27 cases (71. 1%);metastasis to the axillary lymph node occurred in31 cases (81. 5% ) ;and misdiagnosis happened in 28 cases (73. 7%). The 3-year and 5-yealsurvival rates were 70.3% and 37.5% respectively.These 38 patients were younger in age.Tumour mass felt at the mammary gland remained the symptom at the onset of the disease.Needle-biopsy cytology or resectional biopsy was the effective way to establish diagnosis. Inthe paper, causes of misdagnosis, treatment methods and other relevant problems are discussed.