Bulman A S, Lindley R P, Parsons P, Ellis H
Westminster Hospital, London.
Ann R Coll Surg Engl. 1988 Sep;70(5):289-92.
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.
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。