74例老年乳腺癌患者的临床分析

Clinical analysis of 74 elderly breast cancer patients

目的探讨60岁以上老年女性乳腺癌患者的临床特点和治疗效果。方法对2002年1月至2012年1月收治的74例老年乳腺癌患者的临床资料进行回顾性分析。结果 74例乳腺癌患者均行手术治疗。乳癌改良根治术为67例;单纯乳房切除3例;乳房部分切除术3例;另有1例因发现远处转移而进行局部病灶切除术。所有患者均度过围手术期。结论高龄并不是手术的禁忌症,老年乳腺癌患者的治疗仍应以手术为主的综合治疗,重视并处理好合并症,做好术前准备,进行个体化治疗,可降低手术病死率。

Objective To study the clinical features and treatment efficacy of elderly female breast cancer.Methods The clinical datas of 74 cases （≥60 years old ） with breast cancer which were diagnosed during January 2002 and January 2012 were retrospectively studied .Results All patients underwent operation . 67 cases among them received breast cancer modified radical mastectomy , 3cases received simple mastectomy and 3 cases received partial mastectomy , another 1 patient received lumpectomy because of distant metastasis .All the patients survived during the perioperative period .Conclusions Elderly ageing is not a surgery contraindication . Elderly patients with breast cancer should be mainly treated with surgery , multiple operation methods and other adjuvant therapy should be used according to individual condition of these patients .The elderly patients can tolerate operation by optimal preparation and careful treatment .