医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
34期
75-75,76
,共2页
曾丽平%舒筱灿%李彦兮%胡海燕
曾麗平%舒篠燦%李彥兮%鬍海燕
증려평%서소찬%리언혜%호해연
乳腺癌%病理学%临床病理特征
乳腺癌%病理學%臨床病理特徵
유선암%병이학%림상병리특정
Breast cancer%Pathology%Clinicopathological characteristics
目的：探讨近5年来乳腺癌的临床病理特征,提高临床诊治水平。方法收集2009年~2013年间怀化市第三人民医院收治的220例乳腺癌根治术患者的详细临床病理资料,进行回顾性分析。结果220例乳腺癌患者中,平均年龄52岁,50~59岁段所占百分比最高,占34.5%。组织学类型以浸润性导管癌最多,占67.3%。就诊时肿瘤大小为2~5cm者占66.4%。就诊时Ⅱ期者占58.1%。无淋巴结转移者占41.8%。最主要的临床症状为乳腺肿块,占64.5%。浸润性导管癌与浸润性小叶癌两组间年龄差异无统计学意义(P>0.05)。肿瘤大小比较,差异有统计学意义(P<0.01)。临床分期比较，差异有统计学意义（P<0.05）。腋窝淋巴结转移率比较，差异无统计学意义（P>0.05）。结论乳腺癌发病率逐年上升。加强宣传和普及预防乳腺癌的知识显得尤为重要。女性应注意自我检查，定期体检，以早期发现、早期诊断乳腺癌。
目的：探討近5年來乳腺癌的臨床病理特徵,提高臨床診治水平。方法收集2009年~2013年間懷化市第三人民醫院收治的220例乳腺癌根治術患者的詳細臨床病理資料,進行迴顧性分析。結果220例乳腺癌患者中,平均年齡52歲,50~59歲段所佔百分比最高,佔34.5%。組織學類型以浸潤性導管癌最多,佔67.3%。就診時腫瘤大小為2~5cm者佔66.4%。就診時Ⅱ期者佔58.1%。無淋巴結轉移者佔41.8%。最主要的臨床癥狀為乳腺腫塊,佔64.5%。浸潤性導管癌與浸潤性小葉癌兩組間年齡差異無統計學意義(P>0.05)。腫瘤大小比較,差異有統計學意義(P<0.01)。臨床分期比較，差異有統計學意義（P<0.05）。腋窩淋巴結轉移率比較，差異無統計學意義（P>0.05）。結論乳腺癌髮病率逐年上升。加彊宣傳和普及預防乳腺癌的知識顯得尤為重要。女性應註意自我檢查，定期體檢，以早期髮現、早期診斷乳腺癌。
목적：탐토근5년래유선암적림상병리특정,제고림상진치수평。방법수집2009년~2013년간부화시제삼인민의원수치적220례유선암근치술환자적상세림상병리자료,진행회고성분석。결과220례유선암환자중,평균년령52세,50~59세단소점백분비최고,점34.5%。조직학류형이침윤성도관암최다,점67.3%。취진시종류대소위2~5cm자점66.4%。취진시Ⅱ기자점58.1%。무림파결전이자점41.8%。최주요적림상증상위유선종괴,점64.5%。침윤성도관암여침윤성소협암량조간년령차이무통계학의의(P>0.05)。종류대소비교,차이유통계학의의(P<0.01)。림상분기비교，차이유통계학의의（P<0.05）。액와림파결전이솔비교，차이무통계학의의（P>0.05）。결론유선암발병솔축년상승。가강선전화보급예방유선암적지식현득우위중요。녀성응주의자아검사，정기체검，이조기발현、조기진단유선암。
Objective To analyze the past 5years, the clinicopathological characteristics of breast cancer in order to improve diagnosis and treatment level. Methods The clinical data of 220 breast cancer patients in the Third People's Hospital of Huaihua city from 2009 to 2013 were retrospectively reviewed. Results The mean age of 220 breast cancers was 52. The highest frequency of malignancies was observed in the 50-59 age group (34.5%). The major pathological type was infiltrating ductal carcinoma (67.3%). 66.4 percent of patients had turmors between 2~5cm in diameter. 58.1 percent of patients had turmors in stageII. 41.8 percent of patients were detected without lymph node metastasis. The main clinical symptoms of breast mass, accounting for 64.5%. There were no significant dif erences in age, lymph node metastasis rate between infiltrating ductal carcinoma and infiltrating lobular carcinoma ( >0.05). Compared with the tumor size, tumor staging, which dif erence was significant ( <0.05). Conclusion The incidence of breast cancer had increased year by year. Strengthen the prevention of breast cancer awareness and popularity of knowledge is particularly important. Women should pay at ention to self-examination, regular checkups, for early detection, early diagnosis of breast cancer.
