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250例乳房切除标本中局灶性、隐匿性原位癌及浸润癌的发生情况。

On the occurrence of focal, occult in situ and invasive carcinoma in 250 mastectomy specimens.

作者信息

Skjørten F, Amlie E, Larsen K A

出版信息

Eur J Surg Oncol. 1986 Jun;12(2):117-21.

PMID:3709815
Abstract

In 1982, a total of 250 breasts were removed for cancer in the surgical departments of the Oslo City Health Department, comprising 81% of all new breast cancers reported in Oslo in 1982. Invasive ductal carcinoma (68%) and invasive lobular carcinoma (12.4%) were the predominant types. Special attention was given to the presence of occult in situ or invasive carcinomas more than 1 cm from the periphery of the main carcinoma. In 24.8% of the specimens, carcinoma in situ was found in such locations, and an additional 6.9% showed a second, occult invasive carcinoma. Carcinoma in situ was equally common in invasive ductal and invasive lobular carcinoma. Occult invasive carcinoma was predominantly found in specimens with invasive lobular carcinoma. There was a significantly increased number of lymph node metastases in patients with carcinoma in situ or second, occult primary carcinoma more than 1 cm from the periphery of the main carcinoma.

摘要

1982年,奥斯陆市卫生部门外科共切除250例乳腺癌,占1982年奥斯陆报告的所有新发乳腺癌的81%。浸润性导管癌(68%)和浸润性小叶癌(12.4%)是主要类型。特别关注了距主癌边缘1厘米以上的隐匿性原位癌或浸润性癌的存在情况。在24.8%的标本中,在此类位置发现了原位癌,另有6.9%显示存在第二种隐匿性浸润性癌。原位癌在浸润性导管癌和浸润性小叶癌中同样常见。隐匿性浸润性癌主要见于浸润性小叶癌标本中。距主癌边缘1厘米以上存在原位癌或第二种隐匿性原发性癌的患者,其淋巴结转移数量显著增加。

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引用本文的文献

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Wide excision of primary breast cancer: the incidence of residual carcinoma at the site of excision.原发性乳腺癌的广泛切除:切除部位残留癌的发生率。
Ann R Coll Surg Engl. 1988 Jul;70(4):246-8.