双侧原发性乳腺癌的疗效分析(附41例报告)

Curative effect analysis of bilateral primary breast cancer(a report of 41 cases)

目的:分析双侧乳腺癌的临床特征和预后,探讨其治疗措施。方法:回顾性分析41例双侧乳腺癌患者的临床资料,总结其临床特征和预后。结果:41例双侧乳腺癌中异时性28例,同时性13例,其发病年龄40岁以下22例。经过以手术为主的综合治疗,5年生存率达72.41%,10年生存率达53.84%。结论:双侧乳腺癌的治疗及预后与单侧乳腺癌基本相同,对于单侧乳腺癌患者,特别是导管浸润癌患者,应重视对侧乳腺的检查。

Objective:To analyze the clinical characteristics and prognosis of bilateral breast cancer,and to discuss the treatmentmeasures.Methods:The clinical data of 41 patients with bilateral breast cancer were analyzed retrospectively,and the clinicalfeatures and prognosis were summarized.Results:In 41 cases of bilateral breast cancer,28 cases were heterochrony,and 13 caseswere simultaneity.The onset age was under 40 years old in 22 cases.Through the operation based comprehensive treatment,the 5years survival rate reached 72.41% ,and the 10 years survival rate reached 53.84% .Conclusion:The treatment and prognosis ofbilateral breast cancer is basically the same as those of unilateral breast cancer.For patients with unilateral breast cancerespecially invasive ductal carcinoma,it should pay attention to the examination of the contralateral breast.