乳腺疼痛在可手术乳腺癌中的重要性。
Importance of mastalgia in operable breast cancer.
作者信息
Preece P E, Baum M, Mansel R E, Webster D J, Fortt R W, Gravelle I H, Hughes L E
出版信息
Br Med J (Clin Res Ed). 1982 May 1;284(6325):1299-300. doi: 10.1136/bmj.284.6325.1299.
Abstract
The importance of pain as a presenting symptom of breast cancer has been assessed in a series of 240 patients with operable breast cancer over four years. From an analysis of the case histories of 36 patients the diagnosis proved difficult in one-quarter of the cancers. This is explained by the high incidence of subclinical and lobular carcinoma in the group. Cancer must be seriously considered as a diagnosis in patients presenting with well-localised breast pain of recent onset. These patients should be followed for at least one year after the onset of the pain before cancer is confidently excluded.
摘要
在四年期间，对240例可手术乳腺癌患者进行了一系列研究，以评估疼痛作为乳腺癌首发症状的重要性。通过对36例患者病历的分析发现，四分之一的癌症诊断存在困难。这是由于该组中亚临床癌和小叶癌的高发病率所致。对于近期出现乳房局限性疼痛的患者，必须认真考虑癌症的诊断。在确诊排除癌症之前，这些患者在疼痛出现后应至少随访一年。
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本文引用的文献
1
Carcinoma of the breast; the diagnostic significance of pain.乳腺癌；疼痛的诊断意义
Am J Surg. 1951 Dec;82(6):733-5. doi: 10.1016/0002-9610(51)90398-4.
2
Pain in carcinoma of the breast.乳腺癌中的疼痛。
Lancet. 1952 Feb 9;1(6702):274-6. doi: 10.1016/s0140-6736(52)90339-5.
3
Mammography and lobular carcinoma in situ.乳腺钼靶摄影与小叶原位癌
Surg Gynecol Obstet. 1966 Feb;122(2):255-60.
4
Clinical considerations and treatment of in situ lobular breast cancer.小叶原位乳腺癌的临床考量与治疗
Am J Roentgenol Radium Ther Nucl Med. 1968 Mar;102(3):652-6. doi: 10.2214/ajr.102.3.652.
5
The Cardiff-St Mary's trial.
Br J Surg. 1974 Oct;61(10):766-9. doi: 10.1002/bjs.1800611005.
6
Infiltrating lobular carcinoma of the breast.乳腺浸润性小叶癌
Cancer. 1973 Jan;31(1):110-6. doi: 10.1002/1097-0142(197301)31:1<110::aid-cncr2820310115>3.0.co;2-v.
7
The 'tru-cut' biopsy in breast cancer.
Clin Oncol. 1975 Dec;1(4):297-303.
8
The operative management of subclinical breast cancer.亚临床乳腺癌的手术治疗
Clin Oncol. 1977 Jun;3(2):165-9.
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