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目的探讨原发肿瘤大小、淋巴结转移、病理分型及治疗因素对乳腺癌局部复发的影响。方法回顾性分析53例乳腺癌术后复发患者的临床资料。结果本组431例乳腺癌术后复发率为12.3%;原发肿瘤T3、T4型复发率各为32%、37.7%,均明显高于T2(24.5%);淋巴结转移数≥4枚者复发率占51%;浸润性导管癌复发率为43.3%;单纯手术的局部复发率为60.3%,明显高于手术加放疗或化疗综合治疗组。结论乳腺癌需早期诊断,早期治疗,阻断癌复发转移的各个环节。
Objective To investigate the effect of primary tumor size, lymph node metastasis, pathological classification and therapeutic factors on the local recurrence of breast cancer. Methods The clinical data of 53 patients with postoperative recurrence of breast cancer were retrospectively analyzed. Results The recurrence rate of 431 cases of breast cancer in this group was 12.3%. The recurrence rates of primary tumors T3 and T4 were 32% and 37.7%, respectively, which were significantly higher than those of T2 (24.5%). The recurrence rate of lymph nodes> 4 Rate of 51%; invasive ductal carcinoma recurrence rate was 43.3%; simple surgery local recurrence rate was 60.3%, significantly higher than surgery plus radiotherapy or chemotherapy combined treatment group. Conclusion Breast cancer need early diagnosis, early treatment, blocking all aspects of cancer recurrence and metastasis.