实用肿瘤学杂志 ›› 2009, Vol. 23 ›› Issue (2): 132-133.doi: 10.3969/j.issn.1002-3070.2009.02.008

• 论著 • 上一篇    下一篇

农村老年妇女乳腺癌患者的临床特点和预后分析

张建春   

  1. 山东省聊城市肿瘤医院肿瘤科(聊城 252000)
  • 收稿日期:2008-03-06 出版日期:2009-04-20 发布日期:2012-02-21
  • 作者简介:张建春,男,(1967-),本科,副主任医师,从事肿瘤的基础和临床研究

Clinical analysis and prognosis of breast cancer patients in elderly countywomen

ZHANG Jianchun   

  1. Liaocheng Tumor Hospital,Liaocheng 252000
  • Received:2008-03-06 Online:2009-04-20 Published:2012-02-21

摘要: 目的探讨农村老年妇女乳腺癌(年龄≥65岁)的临床特点及预后。方法 收集分析65岁以上农村老年乳腺癌110例的临床特点及预后。结果 110例患者中,病程为3个月-7年,平均12.3个月;病理分型以浸润性癌为主,占85.5%;淋巴结转移率46.4%;免疫组化分析显示雌、孕激素受体阳性者占71.7%,HER-2过表达者占33.3%。53.6%合并有其他疾病;随访率100%,5年、10年生存率分别为59.1%、38.2%。结论 农村老年乳腺癌病程较长,浸润性癌为主,淋巴结转移率低,雌、孕激素受体阳性者高,手术和内分泌治疗是主要和有效的治疗方式。

关键词: 乳腺肿瘤, 老年女性, 预后

Abstract: Objective To investigate the clinical characteristics and prognosis of breast cancer patients in the rural old women above 65 years old.Methods 110 breast cancer cases over 65 years of age were collected and analyzed.Results The progress of study group was 3months to7years,averaging out to 12.3months.Major pathological type was invasiveductalcarcinoma(85.5%).Lymphatic metastasis rate were 46.4%.Estrogen or prog-esterone receptor was found to be positive in 71.7% by immunohistochemical staining.59 patients(53.6%)had comorbidity such as coronary heart disease,hypertention,diabetes,etc.The 5-year survival rate and 10-year survival rate were 59.1%and 38.2% respectively.Conclusion Breast cancer of elderly counywomen had long progress,the invasive ductal canaer dominated in pathologic histology.Estrogen or progesterone receptor were high.Surgery and endocrine therapy are important to achieve good clinical outcome.

Key words: Breast neoplasms, Elderly women, Prognosis

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