男性乳腺癌34例生存分析

Survival Analysis of 34 Cases with Male Breast Cancer

  • 摘要: 目的:探讨男性乳腺癌的生物学特性、治疗及预后情况。方法:对1980年3月~2005年3月吉林大学第一医院收治的34例男性乳腺癌患者的临床资料进行回顾性分析,采用Kaplan-Meier法计算生存率、绘制生存曲线。结果:pTNM分期Ⅰ期6例,Ⅱ期24例,Ⅲ期4例,腋窝淋巴结转移率35.3%(12/34)。均采用改良根治术,术后复发率11.8%(4/34)。5年生存率65.3%。结论:与女性乳腺癌相比,男性乳腺癌有其独特的生物学特性,治疗上采用以手术为主的综合治疗。肿瘤分期和激素受体表达等因素是影响预后的主要因素。

     

    Abstract: Objective: To study the biological characteristics, therapeutic methods and prognosis of male breast cancer cases. Methods: A total of 34 cases with male breast cancer were retrospectively reviewed. All of the patients were diagnosed and treated in our hospital during the period from 1980 to2005. Kaplan-Meier Product Limit method was used to calculate the survival rate and to draw the sur-vival curve. Results: Pathological TNM stage of the patients was as follows: there were 6 patients with Stage-Ⅰ breast cancer, 24 with Stage Ⅱ and 4 with Stage Ⅲ. A positive lymph node was found in35.3% of the patients. All patients received a modified radical mastectomy. The 5-year survival ratewas 65.3%. Conclusions: Male breast cancer has special biological features. Systemic treatment is rec-ommended for these patients, with modified radical mastectomy as the surgical treatment of choice.TNM stage and status of hormone receptor are the major prognostic factors.

     

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