[突尼斯乳腺癌局部复发的预后]
[Prognosis of local recurrence of breast cancer in Tunisia].
作者信息
Sahraoui Wassila, Essafi Adel, Laajili Hayet, Haouas Noureddine, Hmissa Sihem, Sebri Leïla, Hraiech Sarhane, Bibi Mohamed, Bouaouina Noureddine, Ben Ahmed Slim, Khairi Hédi
机构信息
Service de Gynécologie-Obstétrique, CHU, Farhat Hached Sousse.
出版信息
Tunis Med. 2006 Feb;84(2):97-102.
OBJECTIVE
To evaluate locoregional recurrence rate of breast cancer, determine its anatomoclinical characteristies and discuss the available therapeutic alternatives.
PATIENTS AND METHODS
A retrospective study including 41 patients with LRR following modified radical mastectomy or conservative surgery of invasive breast carcinoma without metastasis, between January 1993 and December 2002.
RESULTS
38 cases of LRR occurred after mastectomy and 3 cases after conservative surgery. LRR rate was 4.84%, mean follow-up 44.7 months. Mean age of patients was 45 years and LRR mean occurrence time-interval 22.4 months. Recurrence was parietal in 25 cases, mammary in 2 cases, and nodal in 14 cases. 18 patients had to be operated on.
CONCLUSION
Prognosis of breast cancer depends on distant metastasis. LRR constitutes the second major risk liable to influence the overall prognosis.
目的
评估乳腺癌局部区域复发率，确定其解剖临床特征并探讨可用的治疗选择。
患者与方法
一项回顾性研究，纳入1993年1月至2002年12月间41例浸润性乳腺癌在改良根治术或保乳手术后出现局部区域复发且无转移的患者。
结果
38例局部区域复发发生在乳房切除术后，3例发生在保乳手术后。局部区域复发率为4.84%，平均随访44.7个月。患者平均年龄45岁，局部区域复发平均发生时间间隔为22.4个月。25例复发位于胸壁，2例位于乳腺，14例位于淋巴结。18例患者需接受手术治疗。
结论
乳腺癌的预后取决于远处转移。局部区域复发是影响总体预后的第二大主要风险因素。
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