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乳腺癌治疗失败主要原因是远处转移。我科自1976年～1985年共收治女性单侧乳腺癌术后补充放疗的共696例,均经术后病理证实,随访1～12年。出现远处转移的共153例,其中肺转移94例,依次是骨、脑、肝的转移。乳腺癌出现远处转移,即占治疗失败病例中2/3。而从本组病例中看出乳腺癌的国际分期、患者年令、肿瘤大小和腋淋巴结常规病理检查有无转移及转移数目多少,对预后影响极大。
The main reason for the failure of breast cancer treatment is distant metastasis. A total of 696 cases of postoperative radiotherapy for women undergoing unilateral breast cancer have been treated in our department from 1976 to 1985. All of them were confirmed by postoperative pathology and followed up for 1 to 12 years. A total of 153 cases of distant metastases occurred, including 94 cases of lung metastases, followed by bone, brain, and liver metastases. Distant metastases occur in breast cancer, accounting for two-thirds of the cases of treatment failure. From this group of patients, we can see that the international staging of breast cancer, the age of patients, the size of the tumor, and the presence or absence of metastases and the number of metastases in the routine pathological examination of axillary lymph nodes have a great influence on the prognosis.