男性乳腺癌25例临床分析

Analysis of 25 cases of male breast cancer

目的探讨男性乳腺癌的临床特征、治疗和预后。方法对本院1990年12月-2007年9月年收治的25例男性乳癌患者的临床资料,进行总结分析。结果 25例病理确诊后,19例行改良乳癌根治术,2例行单纯乳腺切除术,4例未行手术。随访6个月-10年,平均78.5个月。10例生存10年以上,16例生存5年以上,3例生存不足1年,4例失访。5年生存率64%。结论男性乳癌是一种少见的恶性肿瘤,治疗效果差。综合治疗可能有助于提高生存率。

Objective To analyze the clinical characteristics, treatment and prognosis of male breast cancer.Methods Twenty five patients with male breast cancer were admitted from December 1990 to September 2007 and their documents were through analysis.Results Twenty five cases were confirmed by surgery and pathology. Among the 25 cases, 19 cases received modified adicalmastectomy, 2 cases received simplemastectomy, 4 cases refused radical mastectomy. 19 cases received adjuvant therapy. During the follow-up, 10 patients lived more than 10 years, 16 lived more than 5 years, 3 patients lived 1 year, 4 patients died. The 5-year survival rate was 64%.Conclusion Male breast cancer is an uncommon disease. Male breast cancer has low survival rate. Combined therapy probably could improve the survival rate.