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[乳腺癌:瓦加杜古大学医院中心的诊断与治疗问题]

[Breast cancer: diagnostic and therapeutic problems at the Ougadougou University Hospital Center].

作者信息

Sano D, Lankoande J, Dao B, Cisse R, Traore S S, Sakande B, Sanou A

机构信息

Service de Chirurgie Générale et Digestive du CHU de Ouagadougou, Burkina Faso.

出版信息

Dakar Med. 1998;43(1):9-12.

PMID:9827147
Abstract

A retrospective study on a 4 years period (1991-1994) enabled the authors within the digestive and general surgery of the Ouagadougou Teaching Hospital Center in Burkina Faso to list 39 breast cancers. During the same period, 3788 patients were hospitalized within the service out of which, 120 for mammary tumoral pathology. Patients, most of the time come late and sometimes with very severe and progressive lesions. Mammography and extemporaneous biopsy were not possible. Fine-needle aspiration for cytologic diagnosis practiced in 17% cases revealed to be insufficient. PATEY's mastectomy was done on 59% of patients. As far as chemotherapy is concerned, it is too expensive and inaccessible, only 9 patients have benefitted from this practice. Te histological test on surgical parts retrieved ductal infiltrating carcinoma 61.5%, medullary infiltrating carcinoma 15.3%, comedo-carcinoma infiltrating 5.1%, lobular infiltrating carcinoma 5.1%, papillary carcinoma 5.1%, carcinoma with fibrous stroma 2.5%, undifferentiated carcinoma 2.5%, scirrhous carcinoma 2.5%.

摘要

一项针对布基纳法索瓦加杜古教学医院中心消化与普通外科4年期间(1991 - 1994年)的回顾性研究,使该中心的作者们列出了39例乳腺癌病例。在同一时期,该科室共收治了3788名患者,其中120名患有乳腺肿瘤疾病。患者大多就诊较晚,有时伴有非常严重且进展性的病变。乳腺X线摄影和术中活检无法进行。17%的病例进行了细针穿刺细胞学诊断,但结果显示不够充分。59%的患者接受了帕蒂乳房切除术。就化疗而言,化疗费用过高且难以获得,只有9名患者受益于这种治疗方法。对手术切除组织进行的组织学检查发现,导管浸润癌占61.5%,髓样浸润癌占15.3%,粉刺样浸润癌占5.1%,小叶浸润癌占5.1%,乳头状癌占5.1%,纤维间质癌占2.5%,未分化癌占2.5%,硬癌占2.5%。

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