乳腺肉瘤21例临床分析

A CLINICAL ANALYSIS OF 21 CASES OF SARCOMA OF THE BREAST

我院自1956年到1990年共收治乳腺恶性肿瘤病人2644例,其中经病理确诊的乳腺肉瘤21例,占同期乳腺恶性肿瘤病人的0.8%。6例腋下淋巴结肿大,占28.6%。病检均非肿瘤转移。本组资料表明乳腺肉瘤的发病年龄较乳癌为轻,45岁以上及病史1年以上者预后较好。因乳腺肉瘤多经血道转移或局部浸润,很少转移到腋下,治疗以肿瘤切除和乳腺单切为主,放疗的价值还需进一步探讨。

Two thousands six hundreds and forty-four patients of malignant tumors of the breast were diagnosed and treated in our hospital from 1956 to 1990. Twenty-one cases of them were diagnosed mammary sarcoma by pathology in 0. 8% in contcmporary malignant tumors of the breast. The axillary lymph nodes of 6 cases in this group are clinically enlarged in 28. 6%, all of them were proved benign through mieroscopie examination. The age of the patient of mammary sarcoma is younger than that of the patient of mammary careinoma in the group. The patient's age over forty-five years and more than one year course have a hetter prognosis. Mammary sarcoma metastasizes by blood stream or local infiltrate, rarely metastasizes to regional lymph nodes. Mammary sarcoma is treated by removal of the tumor and simple mastectomy. The value of radiotherapy will be futher explored by practice.