双侧乳腺癌(附10例报告)

本文报告我院1981～1985年五年间,手术治疗乳腺癌170例,其中双侧乳腺癌10例(男1例、女9例)占5.9％,平均年龄46.1岁。属原发性双侧乳腺癌8例(占4.7％),属继发性(转移性)双侧乳癌5例(占1.2％)。第二癌灶距第一癌灶间隔最短10个月,最长41个月,平均27.5个月。指出双侧乳腺癌大多发生在绝经期之前的妇女;原发癌为先后发生者,第二癌灶多出现在第一癌灶治疗后的头2～3年。强调对患者有一例乳腺癌患者术前要进行对侧乳房的全面检查,术后2～3年内也要密切随访的重要性,警惕将对侧乳房发现的孤立性肿块误认为转移癌而放弃积极治疗。

BILATERAL BREAST CANCER——REPORT OF 10 CASES

This paper reports 170 cases of breast cancer treated by surgery in our hospital during the Period 1891 to 1985. Of these patients, 10(5.9%) (1 male and 9 females, mean age 46.1) had bilateral breast cancer, 8(4.7%) primary bilateral breast cancer and 2 (1.2%) secondary bilateral breast cancer. The shortest interval between the primary cancer focus and the secondary focus was 10 months and the longest 41 months, the mean interval was 27.5 months. Primary bilateral breast cancer was mostly seen in premenopause women: If pirmary cancer occured one after another, second- day cancer focus mostly occured within the first 2-3 years after primary cancer focus was treated. It is emphasized that contralateral breast should be examined carefully before operation and the patient should be followed up within 2-3 year operated if she has unilateral brcast cancer. It is warned that an active treatment is given up when an isolated mass disocvered in the contralateral breast is misdiagnosed as metastatic cancer.