60例乳腺癌术后远处转移临床分析

Clinical Analysis of Distant Matastases after Radical Mastectomy in 60 Cases

目的 探讨乳腺癌术后远处转移的临床病程及合理综合治疗的重要性。方法 共收治乳腺癌术后远处转移病人 6 0例 ,初治时Ⅰ期 18例 ,Ⅱ期 3 3例 ,Ⅲ期 9例 ,全部施行根治性手术 ,Ⅰ、Ⅱ期患者术后化疗 1～ 2个周期者 2 1例 ,术后放疗者 18例 ,另 12例未行化、放疗 ,Ⅲ期患者术后给予放疗。总结初次治疗后出现转移的时间。结果 6 0例病人在初次治疗后 1～ 6年发生了远处转移。结论 乳腺癌是好发血行转移的恶性肿瘤 。

Objective To analyse the clinical course and the importance of reasonable combination treatment of the patients with distant matastases following radical mastectomy.Method 60 cases with distant matastases following radical mastectomy were reviewed,including 18 cases of stage Ⅰ,33 cases of stage Ⅱ,9 cases of stage Ⅲ,when initialy.21 cases of stage Ⅰ and Ⅱ were treated by chemotherapy for 1～2 cycles,18 cases for radiotherapy,other 12 cases had not treated by chemotherapy or radiotherapy,patients of stage Ⅲ were treated for radiotherapy.The time from initial treatment of primary tumor to matastases was investigated.Result The 60 cases developed distant matastases in the first 1～6 years.Conclusion The breast carcinoma can easily develop to matastases in the blood system,reasonable combinalion treatment is the key for improvable curation of breast carcinoma.