40岁以下女性乳腺癌

Breast cancer in women younger than 40 years

我院１９８２年至１９９１年间手术治疗并经病理证实的原发性乳腺癌６５５例，分析比较４０岁以下的年青组乳癌与４０岁以上年长组乳癌在肿瘤发生部位，手术方式，淋巴结转移率，病理类型等五个方面，结果表明两组无明显差别。然而由于年轻组早期就诊率（４１％）明显高于年长组（１９．８％），具有统计学意义。６年随访结果，年轻组生存率８７．９％，年长组７７．１％，Ｐ＜Ｏ．０１，说明了在同一病期，年龄并不是影响预后的主要因素，关键在于早诊早治。

Women with pathological confirmed primary breast cancer entered into our study.The original sites of tumor, operation form, state of lymphatic metasatsis and pathological type were compared between the patients younger than 40 years and the patients older than 40 years. After 6 years-followup, we find the survival rate of younger patients(87. 9% ) is higher than that of older patients(77. 1%, P<O. 01), since the early detectionrate of younger patients(41%) is significantly higher than that of older patients(19. 8%). We conclude that the early detection is critical to improve the patients prognosis.