男性乳房癌:综述及治疗建议。

H L Carmalt, L J Mann, C W Kennedy, J M Fletcher, D J Gillett
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引用次数: 29

摘要

背景:男性乳腺癌是罕见的,在任何单一机构的经验是有限的。本研究的目的是评估38年来在康科德遣返总医院接受治疗的男性乳腺癌患者的表现、管理和结果,并根据研究结果和文献综述确定最佳实践方案。方法:对42例患者进行回顾性分析,重新检查病理切片,必要时重新分类。评估结果并与文献综述结果进行比较。结果:减少根治性手术的趋势已经出现。总体5年生存率为50%,但由于发病年龄较晚,超过一半的死亡与乳腺癌无关。四分之一的患者表现为局部晚期或转移性疾病。结论:男性和女性乳腺癌的表现、诊断病理和预后相似,尽管男性的发病年龄较晚。为了获得局部控制,不需要根治性手术,但了解腋窝淋巴结状态对于确定预后和是否需要辅助治疗很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Carcinoma of the male breast: a review and recommendations for management.

Background: Male breast cancer is rare and experience of it in any single institution is limited. The aim of this study was to evaluate the presentation, management and outcome of male patients with breast cancer treated at Concord Repatriation General Hospital hospital over a 38-year period and to determine a best-practice protocol based on the results and a review of the literature.

Methods: A total of 42 patients were retrospectively reviewed, pathology slides were re-examined and reclassified where necessary. Outcome was assessed and compared with results obtained from a literature review.

Results: A trend towards less radical surgery has emerged. Overall 5-year survival was 50%, but, due to the late age at presentation, more than half the deaths were non-breast cancer related. One quarter of the patients presented with locally advanced or metastatic disease.

Conclusions: The presentation, diagnosis pathology and outcome of breast cancer are similar in men and women, although the disease occurs at a later age in men. Radical surgery is not required in order to gain local control, but knowledge of axillary node status is important in determining prognosis and the need for adjuvant therapy.

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