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目的:探讨乳腺癌预后与腋窝淋巴结转移之间的关系及相关的情况。方法:选择吉林省人民医院2002年1月~2012年8月127例有完整淋巴结检查资料可切除乳腺癌行全乳切除术及腋窝淋巴结清扫患者,术后检查全部腋窝淋巴结,分析其转移数目和转移度的相关因素,计算累积存活率,并对不同淋巴结转移数目和不同淋巴结转移度患者的累积存活率进行Log-rank检验。结果:127例乳腺癌患者中,75例有腋窝淋巴结转移,淋巴结转移率59%;乳腺癌N0~N1、N2、N3期患者的累积存活率分别为100%、75%和0%(P<0.01)。结论:腋窝淋巴结转移情况是决定乳腺癌预后的重要因素,淋巴结转移数目和转移度是判断预后的指标。
Objective: To investigate the relationship between breast cancer prognosis and axillary lymph node metastasis and related conditions. Methods: Jilin Provincial People’s Hospital from January 2002 to August 2012 127 cases of complete lymph node dissection data can be removed resectable breast cancer patients with axillary lymph node dissection and axillary lymph node dissection, check the number of metastases and The degree of metastasis, the cumulative survival rate was calculated, and the cumulative survival rate of patients with different lymph node metastasis and different lymph node metastasis was analyzed by Log-rank test. Results: Of the 127 breast cancer patients, 75 had axillary lymph node metastasis and the rate of lymph node metastasis was 59%. The cumulative survival rates of breast cancer patients with N0 ~ N1, N2 and N3 stage were 100%, 75% and 0%, respectively (P < 0.01). CONCLUSION: Axillary lymph node metastasis is an important factor in determining the prognosis of breast cancer. The number of lymph node metastases and the degree of metastasis are indicators of prognosis.