炎性乳腺癌的诊断及治疗

Diagnosis and treatment of inflammatory breast cancer

目的 :减少误诊并探讨治疗方法。方法 :回顾分析 1989- 1992年 19例炎性乳腺癌病例。结果 :19例中ⅢB期 18例 ,Ⅳ期 1例 ;有 8例误诊为炎症 ,误诊率 42 1% ;针吸检查 14例 ,符合率 71 4% (10 /14) ;ER检测 8例 ,阳性率 37 5 % (3/8) ;19例总 5年生存率 36 8% (7/19) ,其中综合治疗组 5年生存率为 45 5 % (5 /11)。结论 :炎性乳腺癌易误诊为急性炎症 ,对乳房炎性肿块而体温及血白细胞正常者要引起重视 ,针吸检查对诊断及鉴别诊断价值较大。在治疗上应采取综合治疗 ,强调术前化疗的重要性。

patients with inflammatory breast cancer were treated from 1989 to 1992. The authors analyzed the clincal materials and summarized some characteristics of inflammatory breast cancer including high misdiagnostic rate, low estrogen receptor_positive rate and poor prognosis. The authors should pay more attention to inflammatory breast lump. Fine needle cellular study have a high value for the diagnosis and differential diagnosis of inflammatory breast lump. Combined modality treatment should be performed and the importance of neoadjuvant chemotherapy is emphasized in patients with inflammatory breast cancer.