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目的:探讨以乳头溢液为主诉的T0乳腺癌的诊断治疗及预后。方法:1978年1月～1996年12月间共收治女性乳腺癌9082例,共检出T0乳腺癌215例(217例次),其中以乳头溢液为主诉的T0乳腺癌为110例(111例次),全部接受手术治疗及病理组织学检查。结果:25例行传统根治术,仿根治术66例,全乳切除术11例,乳腺部分切除加放疗4例,区段切除4例。病变多数(78.0%)为非浸润性癌、早期浸润性癌及特殊型癌。结论:在91例仿根治术及根治术中淋巴结转移率为6.5%。110例术后除4例死于他病外,106例经随诊5～15年均健在,明显提高了生存率。
Objective: To investigate the diagnosis and treatment of T0 breast cancer with nipple discharge as the chief complaint and its prognosis. Methods: A total of 9082 cases of breast cancer were treated in our hospital from January 1978 to December 1996. T0 breast cancer was detected in 215 cases (217 cases). Among them, 110 cases of T0 breast cancer with nipple discharge as the chief complaint Cases), all underwent surgical treatment and histopathological examination. Results: Twenty - five cases underwent radical mastectomy, 66 cases underwent radical mastectomy, 11 cases underwent mastectomy, 4 partial resection plus radiotherapy and 4 cases underwent segmental resection. The majority of lesions (78.0%) were non-invasive carcinoma, early invasive carcinoma and special type carcinoma. Conclusions: Lymph node metastasis rate was 6.5% in 91 cases of radical mastectomy and radical mastectomy. Among the 110 cases, 4 patients died of his disease, and 106 patients survived 5 to 15 years after follow-up, which significantly improved the survival rate.