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对710例根治性乳腺癌手术后血行转移及锁骨上淋巴结转移的病例进行了临床分析。结果显示,肺、骨、肝、同侧锁骨上淋巴结转移分别为91%、53%、25%和62%;手术范围的大小对术后癌转移影响不大;从手术到发现转移的平均时间为291个月(约2年半);从发现转移到死亡的平均时间为145个月。故认为乳腺癌病人术后复查时要对肺、骨、肝等易转移脏器及同侧锁骨上淋巴结彻底检查;术后2年半是乳腺癌转移的高峰期;癌转移具有多脏器性,故再次手术的意义不大。
The clinical data of 710 cases of radical breast cancer after hematogenous metastasis and supraclavicular lymph node metastasis were analyzed. The results showed that the lymph nodes in the lung, bone, liver and ipsilateral supraclavicular lymph nodes were 91%, 53%, 25% and 62% respectively. The size of the operation had little effect on the postoperative metastasis. The average time from surgery to discovery of metastasis was 291 months (about two and a half years). The average time from discovery to death was 145 months. Therefore, breast cancer patients postoperative review of lung, bone, liver and other organs should be easily transferred and ipsilateral supraclavicular lymph nodes thoroughly; 2 and a half years after the breast cancer metastasis peak; metastasis of multiple organ , So the significance of re-operation is not.