Title: Clinical analysis of axillary lymph node metastasis as first symptom of occult breast cancer
Abstract: OBJECTIVE: To explore the diagnosis,treatment and prognosis in occult breast cancer patients with axillary lymph nodes metastasis.METHODS: The clinical data of 24 occult breast cancer patients with axillary lymph nodes metastasis from March 2000 to July 2004 were analyzed retrospectively.RESULTS: Twenty-four cases of preoperative palpation,molybdenum palladium and ultrasound examination were not found in the ipsilateral breast tumor exactly,but intraoperative frozen section of axillary tumor showed lymph node metastasis(breast was very likely the source).The ipsilateral mastectomy plus axillary lymph node dissection was performed(mammary gland cut open surgery,9 cases of primary tumor was found),and the 3-year and 5-year overall survival rates were 79.2% and 66.7% respectively.The number of axillary lymph node metastasis 4 was in 13 cases and ≥ 4 in 11 cases,and their 3-year and 5-year survival rates were 84.6%,76.9% and 72.7%,54.5% respectively.CONCLUSION: The comprehensive treatment based on ipsilateral mastectomy plus axillary lymph node dissection should be chose for OBC patients,in particular the number of ≥ 4 axillary lymph nodes,and the therapy should be more active.
Publication Year: 2010
Publication Date: 2010-01-01
Language: en
Type: article
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