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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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