234例乳腺癌临床分析
Retrospection on Diagnosis and Treatment of Mammary Carcinoma
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摘要: 本文对1982～1987年收治的234例乳腺癌进行回顾性研究。Ⅰ期4例,Ⅱ期132例,Ⅲ期86例,Ⅳ期12例,各期10年生存率分别为100%、48.5%、26.7%、0%。病理组织学分类:非浸润性癌21例,浸润性非特殊型癌186例,浸润性特殊型癌25例,10年生存率各为66.7%、43.0%、52.1%。病理类型各组间比较具有显著差异(P<0.01),并显示浸润性非特殊型预后不良。纯手术组38例,根治术+术后化疗、放疗组108例,术前化疗+根治术+术后化疗、放疗组88例,术前化疗+根治术+术后化疗、放疗组10年生存率与其它两个组比较具有显著差异(P<0.05)。提示正确的综合治疗才能提高生存率。Abstract: It was studied on retrospection of 234 cases of Mammary Carcinoma from 1982 to 1987. The result showed that 10 years deposit rate of phase I (4 cases)，phase II(132 cases), phase III (86 cases)and phase IV(12 cases) separately is 100%，48.5%,26.7% and 0% . A ccording to pathologic classification 10 years deposit rate of non-invasive Carcinoma (21 cases), invasive non-special type Carcinoma(186 cases), invasive special type Carcinoma (25 cases) separately is 66.7%, 43.0%，52.1%.Each group of pathologic types has significant difference(P<0.01)，and invasive non-special type had baclgrog no sis .According to therape-utic measures only operation was 38 cases, operation plus after-chemical treatment or radial treatment 108 cases and pre-chemical treatment plus operation plus afterchemical and radial treatment 88 cases. 10 years deposit rate of the pre-chemical treatment plus operation plus after-chemical and radial treatment group hacl out-standing difference comparing to ther 2 groups (P<0.05).It indicates only correct integrative treatment can improve survival rates.
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