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肿瘤切除及根治性放疗后具有局部复发高风险的浸润性乳腺癌的病理特征。

Pathological features of invasive breast cancer associated with a high risk of local recurrence after tumour excision and radical radiotherapy.

作者信息

Bulman A S, Lindley R P, Parsons P, Ellis H

机构信息

Westminster Hospital, London.

出版信息

Ann R Coll Surg Engl. 1988 Sep;70(5):289-92.

PMID:2847625
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2498825/
Abstract

The histological slides of 273 breast cancer patients, treated by local excision and radiotherapy and followed up for 2-6 years, were reviewed in search of factors predictive of local recurrence. Local recurrence was found to be most closely related to the combination of a high proportion of intraduct carcinoma and extensive necrosis (comedocarcinoma). This latter group of 18 patients had a local recurrence rate of 50%. These patients are of particular interest since they form a small group with readily identifiable histological features.

摘要

对273例接受局部切除和放疗并随访2至6年的乳腺癌患者的组织学切片进行了复查,以寻找预测局部复发的因素。发现局部复发与导管内癌比例高和广泛坏死(粉刺癌)的组合最为密切相关。后一组18例患者的局部复发率为50%。这些患者特别值得关注,因为他们构成了一个具有易于识别的组织学特征的小群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e99/2498825/e4a0ab7e57e4/annrcse01552-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e99/2498825/e4a0ab7e57e4/annrcse01552-0034-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e99/2498825/e4a0ab7e57e4/annrcse01552-0034-a.jpg

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本文引用的文献

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Histological grading and prognosis in breast cancer; a study of 1409 cases of which 359 have been followed for 15 years.乳腺癌的组织学分级与预后;对1409例病例的研究,其中359例已随访15年。
Br J Cancer. 1957 Sep;11(3):359-77. doi: 10.1038/bjc.1957.43.
2
Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast.比较乳腺癌小肿瘤患者行根治性乳房切除术与象限切除术、腋窝淋巴结清扫术及放射治疗的效果。
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Breast conservation in the treatment of early breast cancer. A 20-year follow-up.
Cancer. 1984 Jan 15;53(2):349-55. doi: 10.1002/1097-0142(19840115)53:2<349::aid-cncr2820530230>3.0.co;2-b.
6
Pathologic predictors of early local recurrence in Stage I and II breast cancer treated by primary radiation therapy.接受原发性放射治疗的Ⅰ期和Ⅱ期乳腺癌早期局部复发的病理预测因素。
Cancer. 1984 Mar 1;53(5):1049-57. doi: 10.1002/1097-0142(19840301)53:5<1049::aid-cncr2820530506>3.0.co;2-o.
7
Margins of "lumpectomy" for breast cancer.乳腺癌“保乳手术”的切缘
Hum Pathol. 1986 Apr;17(4):330-2. doi: 10.1016/s0046-8177(86)80455-5.
8
Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer.一项比较全乳切除术与保乳手术加或不加放疗治疗乳腺癌的随机临床试验的五年结果。
N Engl J Med. 1985 Mar 14;312(11):665-73. doi: 10.1056/NEJM198503143121101.
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Local control and survival of breast cancer treated by limited surgery followed by irradiation.采用局部手术联合放疗治疗乳腺癌的局部控制情况及生存率。
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Interim results of treatment of breast cancer with breast conservation for all patients.
Surgery. 1987 Apr;101(4):395-9.