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目的 探讨青年乳腺癌临床特点 ,分析常见延误诊治原因。方法 回顾性分析本院收治的 12 1例青年组 (年龄≤ 3 5岁 )和 40例对照组 (年龄≥ 40岁 )乳腺癌患者 ,所有病例均经外科治疗。结果 青年组和对照组腋窝淋巴结阳性率和浸润性肿瘤阳性率有显著性或非常显著性差异 (P <0 0 5或P <0 0 1) ;青年乳腺癌患者按病程分为 1月以内、1~ 3月、3~ 6月、6~ 12月和 12月以上 5组 ,临床分期和腋窝淋巴结转移率在不同病程间有显著性差异 (P <0 0 1)。结论 强调青年乳腺癌侵袭性强的同时要强调早期诊治减少延搁。早期诊断主要依赖于医患双方的警惕
Objective To investigate the clinical features of young breast cancer and analyze the causes of common delayed diagnosis and treatment. Methods A retrospective analysis of 12 1 cases of young patients (≤35 years old) and 40 cases of control group (≥40 years old) breast cancer admitted to our hospital was performed. All patients were surgically treated. Results There was a significant or very significant difference in the positive rate of axillary lymph nodes between the young group and the control group (P <0.05 or P <0.01). The young patients with breast cancer were divided into one month according to the course of the disease, From January to March, from March to June, from June to December and from December to December, the clinical stage and axillary lymph node metastasis rate were significantly different between different stages of disease (P <0.01). Conclusions Emphasizing the strong aggressiveness of young breast cancer, emphasis should be placed on reducing the delay in early diagnosis and treatment. Early diagnosis depends mainly on the vigilance of both doctors and patients