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目的 分析隐匿性乳腺癌的诊断、治疗方法和预后。方法回顾性分析23例隐匿性乳腺癌的临床资料。23例隐匿性乳腺癌患者均以腋窝肿块为首发表现,7例粗针穿刺活检诊断为转移性腺癌。23例均行同侧乳腺癌根治术或改良根治术,术后均予辅助化疗和放疗。结果术后随访平均7.3年,术后5年生存率为64.5%。9例患者因远处脏器转移而死亡。结论腋窝淋巴结活检对隐匿性乳腺癌的诊断具有重要意义,治疗方式以改良根治术为主并辅以化、放疗等综合治疗。
Objective To analyze the diagnosis, treatment and prognosis of occult breast cancer. Methods The clinical data of 23 cases of occult breast cancer were retrospectively analyzed. 23 cases of occult breast cancer patients were axillary lumps as the first performance, 7 cases of needle puncture biopsy diagnosis of metastatic adenocarcinoma. Twenty-three cases underwent radical ipsilateral radical mastectomy or modified radical mastectomy with adjuvant chemotherapy and radiotherapy. Results The average follow-up was 7.3 years and the 5-year survival rate was 64.5%. Nine patients died from distant organ metastases. Conclusions Axillary lymph node biopsy is of great significance for the diagnosis of occult breast cancer. The treatment is mainly modified radical mastectomy combined with radiotherapy and other comprehensive treatment.