Camps M J, Crommelin M A, Breed W P
Afd. Interne Geneeskunde, Catharina Ziekenhuis, Eindhoven.
Ned Tijdschr Geneeskd. 1998 Oct 3;142(40):2205-8.
Mammary carcinoma was diagnosed in two women aged 31 and 38 years after they had been subjected to mantle irradiation for Hodgkin's disease at the ages of 17 and 20 years, respectively. Breast amputation was performed in one case, lumpectomy in the other; the subsequent courses were uncomplicated. During follow-up there was no sign of recurrence. Lifelong follow-up by specialists of women irradiated for Hodgkin's disease should be considered; monthly self-examination of the breasts should be advised and mammography should be carried out annually as from 10 years after thoracic or axillary irradiation. It is especially women treated before their 20th year of life who run a relatively high risk.
两名分别为31岁和38岁的女性在17岁和20岁时因霍奇金病接受斗篷野照射后被诊断出患有乳腺癌。其中1例进行了乳房切除术，另1例进行了肿块切除术；后续病程顺利。随访期间无复发迹象。应考虑由专家对接受霍奇金病照射的女性进行终身随访；建议每月进行乳房自我检查，并在胸部或腋窝照射10年后每年进行乳房X线摄影检查。尤其是在20岁之前接受治疗的女性，其风险相对较高。
