乳腺癌术后胸壁复发因素分析

The cause analysis of breast cancer recurrence on chest wall

目的探讨乳腺癌复发的因素及再治疗的的必要性。方法对1997年1月至2000年12月我院收治的60例局部复发的乳腺癌进行回顾性分析。结果原发灶位于内象限(含中央象限)者胸壁复发高于外象限;雌激素受体(ER)和孕激素受体(PR)2项均阴性者复发率高于均阳者;复发后采用积极的综合治疗,仍然可以获得较高的5年存活率。结论对初治的乳腺癌治疗一定要规范;同时早期发现局部复发并进行综合治疗。

Objective To research the prognosis factors of recurrent breast cancer and the clinical value of retreatment . Methods The data of 60 patients with locally recurrent breast cancer from January 1997 to December 2000 were retrospective analyzed. Results The recurrent rate of the primary cancer at the interior quadrants (including the central quadrant) was higher than those at the exterior quadrants; the recurrent rate of patients with both negative ER and PR was higher than those with positive ER and PR. The survival rate above 5 years can be achieved among patients with active comprehensive treatment. Conclusion The initial treatment of breast cancer should be standardized; The early detection and comprehensive treatment of local recurrent should be made as soon as possible.