老年乳腺癌67例外科治疗分析

Clinical study on surgical treatment of breast cancer in the aged

探讨老年乳腺癌外科术式与治疗效果的关系。方法６７例老年乳腺癌患者（年龄大于６５岁），其中行乳腺癌根治术３１例，改良根治术３６例。７０例非老年乳腺癌患者（年龄小于６５岁），其中行乳腺癌根治术３７例，改良根治术３３例。结果老年乳腺癌术后疗效与非老年组无显著差异（Ｐ＞０．０５），老年乳腺癌根治术与改良根治术疗效无显著差异（Ｐ＞０．０５），但Ⅰ～Ⅱ期５年生存率明显高于Ⅲ期患者（Ｐ＜０．０５）。结论老年乳腺癌应以手术治疗为主，尤其是Ⅰ～Ⅱ期患者。

Objective To study the effect of surgical treatment on breast cancer in elderly patients.Method Sixty-seven patients over 65 years old and 70 patients under 65 years old with breast cancer who underwent modified radical mastectomy and radical mastectomy between 1972～1992 were analyzed.Results There was no difference between the two groups in overall survial of patients and also between the radical mastectomy and the modified radical mastectomy,but 5-year overall survival after surgery was longer in stage ⅠorⅡ patients than in stage Ⅲ patients.Conclusion Optimal treatment of breast cancer in the elderly patients should be surgery.In specially,stage Ⅰ or Ⅱ patients should receive modified radical mastectomy owing to its smaller trauma in operation.