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[根治性乳房切除术后的局部区域复发。50例研究]

[Local regional recurrences after radical mastectomy. Studies of 50 cases].

作者信息

Badellino F, Margarino G, Santoro L, Canavese G, Peradotto F, Bianucci P

出版信息

Minerva Med. 1977 Nov 10;68(54):3681-92.

PMID:593586
Abstract

Resection of locoregional recurrences was performed after mastectomy in 50 cases in the period 1961-1974. An incidence of 2% to 35% is reported for such recurrences, which are due to a variety of factors. In the present series, attention was directed to age at mastectomy and at recurrence, size of primary tumour, presence of axillary metastases, and details of menarche, menopause and pregnancy. Mean age at mastectomy was 50 yr and at recurrence 53 yr. Tumour diameter ranged from 2 to 5 cm in 73% of cases. Lympho node metastases were present in 42%. In 80%, the recurrence was paracicatricial, in 13% parasternal, and in 7% axillary. Treatment consisted of resection, radiochemotherapy or endocrino-ablative management.

摘要

1961年至1974年期间,50例患者在乳房切除术后进行了局部区域复发灶切除术。此类复发的发生率报告为2%至35%,其由多种因素引起。在本系列研究中,重点关注了乳房切除术时及复发时的年龄、原发肿瘤大小、腋窝转移情况以及初潮、绝经和妊娠的详细信息。乳房切除术时的平均年龄为50岁,复发时为53岁。73%的病例肿瘤直径在2至5厘米之间。42%的患者存在淋巴结转移。80%的复发为瘢痕旁复发,13%为胸骨旁复发,7%为腋窝复发。治疗方法包括手术切除、放化疗或内分泌消融治疗。

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1
[Local regional recurrences after radical mastectomy. Studies of 50 cases].[根治性乳房切除术后的局部区域复发。50例研究]
Minerva Med. 1977 Nov 10;68(54):3681-92.
2
Low risk of locoregional recurrence of primary breast carcinoma after treatment with a modification of the Halsted radical mastectomy and selective use of radiotherapy.采用改良的Halsted根治性乳房切除术并选择性使用放疗治疗原发性乳腺癌后,局部区域复发风险较低。
Cancer. 1999 Apr 15;85(8):1773-81.
3
[Does primary tumor affect the prognosis in postmastectomy locoregional recurrence in breast carcinoma?].[原发性肿瘤对乳腺癌乳房切除术后局部区域复发的预后有影响吗?]
Strahlenther Onkol. 1995 Jan;171(1):18-28.
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Isolate local failure after breast-conserving treatment for early breast cancer, about 57 cases.早期乳腺癌保乳治疗后局部复发,约57例。
Cancer Radiother. 2004 Apr;8(2):95-107. doi: 10.1016/j.canrad.2004.01.002.
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A positive margin is not always an indication for radiotherapy after mastectomy in early breast cancer.切缘阳性并不总是早期乳腺癌乳房切除术后放疗的指征。
Int J Radiat Oncol Biol Phys. 2004 Mar 1;58(3):797-804. doi: 10.1016/S0360-3016(03)01626-2.
6
[Surgical treatment of local recurrence after mastectomy].乳房切除术后局部复发的外科治疗
Helv Chir Acta. 1992 May;59(1):157-61.
7
Loco-regional recurrence in 2064 patients with breast cancer treated with mastectomy without adjuvant radiotherapy.2064例接受乳房切除术且未进行辅助放疗的乳腺癌患者的局部区域复发情况。
Eur J Surg Oncol. 2007 Oct;33(8):977-81. doi: 10.1016/j.ejso.2007.01.034. Epub 2007 Mar 26.
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[Our experience in the surgical treatment of early breast cancer. Results of a prospective study of 204 cases].[我们早期乳腺癌手术治疗的经验。204例前瞻性研究结果]
Ann Ital Chir. 1997 Mar-Apr;68(2):195-204; discussion 204-5.
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[Internal mammary lymph node metastases and parasternal recurrences in breast cancer].[乳腺癌的内乳淋巴结转移及胸骨旁复发]
Rinsho Hoshasen. 1989 Apr;34(4):471-9.
10
[Local relapse in young (< or = 40 years) women with breast cancer after mastectomy or breast conserving surgery: 15-year results].[40岁及以下年轻女性乳腺癌乳房切除或保乳手术后的局部复发:15年结果]
Magy Onkol. 2005;49(3):203, 205-8. Epub 2005 Oct 25.