Kojima O, Takahashi T, Hagiwara A, Horie H, Matsui M, Tamura Y, Takemoto Y
First Department of Surgery, Kyoto Prefectural University of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1989 Sep;90(9):1399-402.
Eight hundred forty-one patients with biopsy-proven benign breast disease were followed annually in prospective manner for 1-10 years to analyse breast cancer development at aspect of histologic features, age at entry and mammographic patterns by Wolfe. No association was found between patients who developed cancer and those who did not with respect to the initial histologic features. The rate of breast cancer development in patients in thirties was the highest. The breast cancer development was found most often in less than three years follow-up period. The breast parenchymal patterns at entry related to cancer development. In 10 cancer patients, 8 patients showed DY pattern and 2 showed P2 patterns. The present results demonstrate that the patients with biopsy-proven benign breast disease in thirties, in less than 3 years follow up period and have parenchymal patterns of P2 or DY should be followed carefully.
对841例经活检证实为良性乳腺疾病的患者进行了为期1至10年的前瞻性年度随访,以从组织学特征、入组年龄和沃尔夫乳腺钼靶影像模式等方面分析乳腺癌的发生情况。在发生癌症的患者和未发生癌症的患者之间,就初始组织学特征而言未发现关联。三十多岁患者的乳腺癌发生率最高。乳腺癌的发生最常出现在随访期不到三年的时间内。入组时的乳腺实质影像模式与癌症发生有关。在10例癌症患者中,8例显示DY模式,2例显示P2模式。目前的结果表明,三十多岁、随访期不到3年且具有P2或DY实质影像模式的经活检证实为良性乳腺疾病的患者应密切随访。