乳腺癌改良根治术后胸膜转移的临床分析.pdfVIP

.2488. 管琳，等 乳腺癌改良根治术后胸膜转移的临床分析 乳腺癌改良根治术后胸膜转移的临床分析 管琳，洪文娟，洪志鹏，黄韬 Clinical analysis of postoperative pleural metastasis in breast cancer patien怡 treated with modified radical ma剖ectomy Guan Lin , Hong Wenjuan , Hong Zhipeng , Huang Tao Department 0/ T1wracic Surgery ,First Æ庐liated Ho平ital 0/ Kunming Medical University , Yunnan Kunming 65∞32 ， China. [ Abstract] Objective :To explore the differences of different primary tumor diameter before 由e modified radical mastectomy (MRM) ,axillary lymph node metastasis ,and postoperative treatment in postoperative pleural metastasis and transfer time of death. Methods: Of 132 female patients with breast cancer treated with MRM before were ob- served , 13 cases were negative group ,20 cases were 1 to 3 gr咽up ， 34 cases were 4 to 6 group , 38 cases were 7 to 14 group ,27 cases were all transfer group according to number of postoperative axillary lymph node metastasis. 20 cases were 2. Ocm group ,73 cases were 2. Ocm to 5. Ocm group ,39 cases were 5. Ocm , 7. Ocm group according to ini- tial tumor diameter (longest diameter). 65 cases were conventional chemotherapy group ,67 cases were conventional chemotherapy and tamoxifen (TAM) group according to post - operative treatment. Results:ηle average number of months was 33. 57 months after surgerγin pleural metastasis. The average number of months was 15.64 months in the transfer to the death. The time of postoperative pleural metastasis and death transferred was more in negative group , 2.0cm group ,conventional chemotherapy and TAM group (P 0. 05 or P 0. 01). The time of pleural me- tastasis and death transferred gradually shortened with larger initial tumor diameter ,and time