男性乳腺癌的诊断与治疗

Diagnosis and treatment of male breast carcinoma

目的探讨男性乳腺癌的诊断与治疗方法。方法回顾性总结男性乳腺癌３２例，中位年龄５４岁。分析了男性乳腺癌的诊断、治疗及预后。结果临床Ⅰ期７例，Ⅱ期１７例，Ⅲ期７例，Ⅳ期１例。３２例患者中，３１例有乳腺肿块。腋窝淋巴结转移率５７．１％。总５年生存率６５．６％，根治术与改良根治术后患者５年生存率分别为６８．４％及６６．７％，非根治术患者５年生存率为５７．１％。结论对于确诊为乳腺癌患者首选改良根治术根据患者不同情况辅以放射治疗。

Objective To evaluate the diagnosis and treatment of male breast carcinoma. Methods Thirty two male breast carcinoma cases were studied.The median age was fifty four years old.The diagnosis,treatment and prognosis for male breast carcinoma were studied. Results Clinical stage of the patients:Ⅰ,7 patients;Ⅱ,17 patients;Ⅲ,7 patients;Ⅳ,1 patient.Of the 32 carcinomas,31 patients had mass in the breast. Positive lymph nodes were found in 57.1% of the patients.The 5 year survival rate was 65.6% for all patients,68.4% for patients undergone radical mastectomy, 66.7% for those undergone modified radical mastectomy and 57.1% for the others. Conclusion The optimal treatment for male breast carcinoma is modified radical mastectomy combined with radiotherapy, chemotherapy and endocrine therapy.