摘要
目的：分析乳腺肿块病理结构及年龄分布，探讨其微创外科治疗的临床意义。方法：我院在2008年4月-2011年4月对534例1115个乳腺肿块施行微创切除术，并根据术后病理诊断结果对乳腺癌患者进一步治疗；回顾性分析其临床资料，了解其病理结构及年龄分布的关系。结果：良性肿块占99．3％，依次为纤维瘤（52．8％）、腺病（21．8％）、囊性增生（16％）、增生结节（5．1％）、副乳腺（1.7％）、乳头状瘤（0．7％）。纤维瘤、腺病、囊肿及增生主要分布于21～40年龄段（P〈0．01）。乳腺癌共8例，占0．7％，在各年龄组发病率差异均无统计学意义（P〉0．05）；8例中，6例行保乳手术，1例行保留乳头改良根治术，另1例放弃治疗；手术7例均随访4～36个月，无一例复发。结论：乳腺肿块大部分为良性结构，微创手术既可以起到干预良性肿块癌变，又可以早期发现乳腺癌。
Objective：To analyze the pathological structure of breast tumor and its surgical treatment. Methods：During the period April 2008 to April 2011, a total of 1115 tumors in 534 cases of breast lumps in our hospital were resected by B - guided minimally invasive surgery. Clinical data were arranged and analyzed to understand its pathological structure and the age distribution. Results ：99.3% of tumors were benign, which were arranged in turn as follows： Fibroids （52.8 % ） ; Adenosis of breast （21.8%） ; Cystic hyperplasia （ 16% ） ; Hyperplasia （5.1%） ; Accessory breast（ 1.7% ） ; Papilloma（0.71% ） and breast cancer was 0.72%. Fibroids, adenosis, cystic and hyperplasia were mainly distributed in the 21 to 40 years group （P 〈 0.01 ）. Breast cancer incidence rates of all age groups had no significant difference（ P 〉 0.05 ）. Breast -conserving surgery patients were followed up for 4 to 36 months. Conclusions： Breast masses are mainly benign. Intervention by minimally invasive surgical can not only play a role in cancer prevention but can also find breast cancer in the early stage.
出处
《解剖与临床》
2012年第1期55-58,共4页
Anatomy and Clinics
关键词
乳腺肿块
病理检查
癌前病变
微创手术
Breast mass
Pathological examination
Minimally invasive surgery
Precancerous lesions
