高、低年龄组乳腺癌淋巴转移规律及对手术的指导意义

• 作 者: 亓玉忠 胡三元 王培林
• 机 构: 山东大学第二医院普外科
• 出 处: 中国现代手术学杂志
• 发表日期: 2001年04期
• 关键词: 淋巴结转移率 乳腺肿瘤 淋巴转移 清扫范围 年龄组 淋巴结清扫 年龄因素 根治术 胸骨旁淋巴结 乳房切除术

目的　探讨高、低年龄组乳腺癌在淋巴结转移方面存在的差异 ,指导手术治疗。　方法　分别研究高、低年龄组乳腺癌临床分期、淋巴结分组、肿瘤大小、组织学分级与淋巴结转移率及转移度的关系。　结果　低龄组乳腺癌淋巴结转移率及转移度高于高龄组。　结论　低龄组乳腺癌应重视根治性 ,淋巴结清扫范围不宜缩小 ,术后应积极给予辅助治疗。高龄组乳癌合并症多 ,淋巴转移程度低 ,可适当缩小手术清扫范围。

Objective To explore the differences in lymph node metastasis between high- and low-age breast cancers and to guide surgical treatment. Methods The clinical stage, lymph node group, tumor size, histological grade, lymph node metastasis rate, and degree of metastasis of breast cancer in high and low age groups were studied. Results The lymph node metastasis and metastasis in breast cancer of younger age group were higher than that of old age group. Conclusions In the younger age group, radical treatment of breast cancer should be emphasized. The scope of lymph node dissection should not be reduced. Adjuvant therapy should be given after surgery. The older age group has more complications of breast cancer and low lymphatic metastasis, and can appropriately reduce the range of surgical cleansing.