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目的：探索男性乳腺癌早期诊断治疗的方法和方式。方法：本组行乳癌根治性切除术12例，单纯乳腺切除术2例，单纯睾丸切除术1例。术后4例接受一个疗程化疗，11例末作任何治疗。结果：术后14例得到随访，随访时间1～13年。生存5年以上5例，10年以上2例。5例术后1～3年均死于肺、骨转移，1例术后半年死于心梗，1例睾丸切除术后1年死于肺转移，3例随访不满5年。结论：男性乳腺癌的特点为老年、病程长、临床发现晚、易误诊。因肿瘤恶性程度高，腋窝淋巴转移率达80％，故预后差。因此应重视早期诊断和早期治疗。对男性乳腺癌应以根治术为主，术后加放疗、化疗等综合治疗，尤其要重视内乳区放疗。对怀疑男性乳腺癌患者应术中冰冻，尽量作一次性根治。术后可进行免疫组化测定，以指导术后治疗。
Objective: To explore the methods and methods of early diagnosis and treatment of male breast cancer. Methods: The group underwent radical resection of breast cancer in 12 cases, simple mastectomy in 2 cases, and simple orchiectomy in 1 case. Four patients received one course of chemotherapy after surgery, and 11 patients were treated with any treatment. RESULTS: Fourteen patients were followed up for a period of 1 to 13 years. 5 cases survived more than 5 years and 2 cases more than 10 years. Five patients died of lung and bone metastases 1 to 3 years after surgery. One patient died of myocardial infarction half a year after surgery. One patient died of lung metastasis 1 year after orchiectomy. Three patients were followed up for less than 5 years. Conclusion: The characteristics of male breast cancer are old age, long duration, late clinical diagnosis, and misdiagnosis. Due to the high degree of malignancy of the tumor, the axillary lymph node metastasis rate is 80%, so the prognosis is poor. Therefore, early diagnosis and early treatment should be emphasized. The treatment of male breast cancer should be based on radical surgery, postoperative radiotherapy, chemotherapy and other comprehensive treatment, with particular emphasis on internal breast radiotherapy. For suspected male breast cancer patients should be frozen during surgery, try to make a one-time cure. Postoperative immunohistochemistry can be performed to guide postoperative treatment.