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[乳腺原发性鳞状细胞癌的临床分析]

[Clinical analysis of primary squamous cell carcinoma of the breast].

作者信息

Tao Zheng, Chen Fu-zhen

机构信息

Department of General Surgery, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2003 Mar;41(3):183-5.

Abstract

OBJECTIVE

To study the clinicopathological features of primary squamous cell carcinoma (SCC) of breast and the diagnosis and treatment of the disease.

METHODS

The clinical, operative and pathological data from 7 cases of SCC of breast were retrospectively analysed.

RESULTS

Five patients complained of painless mass and two of them were accompanied with local pain. All patients were diagnosed as having SCC by fine-needle aspiration before operation. Two patients underwent modified radical mastectomy, and the others received radical mastectomy. Pathological examination showed primary squamous cell carcinoma of the breast with metastasis to axlliary lymph nodes in one patient. Follow-up of four patients revealed that two patients are living well and two patients died. Three patients lost to follow up.

CONCLUSION

The diagnosis of primary squamous cell carcinoma of the breast is dependent on pathological results. Radical mastectomy including modified radical mastectomy is most effective in the treatment of mammary SCC. Postoperative chemotherapy and radiation are necessary auxiliary therapy.

摘要

目的

研究乳腺原发性鳞状细胞癌(SCC)的临床病理特征及该疾病的诊断与治疗。

方法

回顾性分析7例乳腺SCC患者的临床、手术及病理资料。

结果

5例患者主诉无痛性肿块,其中2例伴有局部疼痛。所有患者术前经细针穿刺均诊断为SCC。2例行改良根治性乳房切除术,其余行根治性乳房切除术。病理检查显示1例乳腺原发性鳞状细胞癌伴腋窝淋巴结转移。4例患者随访,2例生存良好,2例死亡。3例失访。

结论

乳腺原发性鳞状细胞癌的诊断依赖于病理结果。包括改良根治性乳房切除术在内的根治性乳房切除术是治疗乳腺SCC最有效的方法。术后化疗和放疗是必要的辅助治疗。

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