Ⅰ、Ⅱ期乳腺癌累及乳头乳晕的可能性分析

The probability of nipple-areolar complex involvement in Breast Cancer on stage Ⅰ or Ⅱ cases

目的研究Ⅰ、Ⅱ期乳腺癌乳头乳晕复合体的受累概率,分析保留乳头乳晕复合体的乳腺癌改良根治术的可行性。方法对692例已行改良根治术的Ⅰ、Ⅱ期乳腺癌患者,术后乳头乳晕复合体行正中切面取材做病理检查,了解乳头乳晕复合体受累情况。结果692例乳腺癌中,14例见乳头乳晕复合体受累,受累率为2.2%。结论肿瘤的最大径,肿瘤边缘距乳晕的距离,腋淋巴结受累,乳头的歪斜或凹陷等异常体征与乳头乳晕复合体受累密切相关,而与病理类型和肿瘤所处的象限关联不甚密切。

Objective To investigate the incidence of nipple-areolar complex in breast cancer on stage Ⅰ or Ⅱ cases, analyse the feasibitily about modified radical operation of breast cancer preserving nipple-areolar complex. Methods 692 breast cancer patients on stage Ⅰ or Ⅱ cases were performed modified radical operation,midline-transection of nipple-areola complex sent to pathological examination to evaluate the severity. Results The rat of nipple-areola complex involvement was 2.2% （14/692）. Conclusion Many factors are interrelate with the incidence of nipple-areola complex：most diameter of the tumor,the distance from the tumor to nipple-areola,metastases in axillary lymph nodes,deflection or depressed of nipple.but the tumor size and the quadrant location of tumor was not relation.