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目的:探讨老年乳腺癌的临床病理特点、预后情况及治疗策略。方法:本文选择了88例老年乳腺癌患者进行研究,将患者按照年龄的不同分成研究组与对照组,研究组70岁以上,对照组35~50岁。按照随机配对原则,各44例。两组主要病理类型以浸润性导管癌为主,其次为乳头状癌。小叶癌以及髓样癌,两组分别采用单纯切除术、改良根治术等方法进行治疗,之后将其临床病理特点以及治疗策略、预后情况进行比较分析。结果两组病理类型比较,差异经统计学处理不具有显著性(P>0.05),两组间预后2年无复发生存率比较无显著性差异(P>0.05),经分析影响预后的主要因素为,脉管瘤栓以及淋巴结的状态。结论:老年乳腺癌患者具有特定的临床病理特点,手术与内分泌治疗是老年乳腺癌的主要治疗手段。
Objective: To investigate the clinicopathological features, prognosis and treatment strategies of elderly patients with breast cancer. Methods: In this study, 88 elderly patients with breast cancer were selected and divided into study group and control group according to their age. The study group was over 70 years old and the control group was 35-50 years old. In accordance with the principle of random matching, each 44 cases. The main pathological types of two groups with invasive ductal cancer, followed by papillary carcinoma. Lobular carcinoma and medullary carcinoma. The two groups were treated by simple excision and modified radical mastectomy, respectively. The clinical and pathological features, treatment strategies and prognosis were compared. Results There was no significant difference between the two groups in pathological type (P> 0.05). There was no significant difference in the two-year recurrence-free survival rate between the two groups (P> 0.05). The main factors influencing prognosis For, tumor thrombus and lymph node status. Conclusion: The elderly patients with breast cancer have a specific clinical and pathological features, surgery and endocrine therapy is the main treatment for elderly patients with breast cancer.