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目的探讨乳腺黏液癌的临床病理特点极其与预后的关系。方法回顾性分析2002年1月—2010年12月选择肇庆市第二人民医院收治的乳腺黏液癌6例患者的临床资料。结果 6例患者中,Ⅰ期1例,Ⅱ、Ⅲ和Ⅳ期分别为2例2、例和1例。诉症状:乳腺无痛性肿块4例,肿块伴疼痛1例,单纯乳头溢液1例。肿块大小分布与病程长短及其与淋巴结转移关系呈正相关。采用扩大根治术1例,根治术1例,改良根治术3例,保乳手术1例。随访时间10～63个月,中位随访时间27个月,无死亡患者,但是发生局部复发1例,复发率为16.7%。结论对于乳腺粘液癌患者,病理类型是预测乳腺黏液癌预后的独立因素,要同时提高患者和医师的警惕性,早期发现,早期治疗。
Objective To investigate the clinicopathological features of breast mucinous carcinoma and prognosis. Methods The clinical data of 6 patients with breast mucinous carcinoma admitted to the Second People’s Hospital of Zhaoqing from January 2002 to December 2010 were retrospectively analyzed. Results Among the 6 patients, 1 case was stage Ⅰ, 2 cases were stage Ⅱ, Ⅲ and Ⅳ, and 1 case was stage Ⅱ. V. Symptoms: 4 cases of painless mass in the breast, 1 case of mass with pain, and 1 case of simple nipple discharge. The distribution of tumor size and duration of disease and lymph node metastasis was positively correlated. One case of extended radical mastectomy, radical mastectomy in 1 case, modified radical mastectomy in 3 cases and breast conserving surgery in 1 case. The follow-up time ranged from 10 to 63 months. The median follow-up time was 27 months. There were no deaths, but 1 case had local recurrence with a recurrence rate of 16.7%. Conclusion For patients with mucinous carcinoma of the breast, the pathological type is an independent predictor of the prognosis of breast mucinous carcinomas. At the same time, it is necessary to improve the vigilance of patients and physicians, early detection and early treatment.