粤西地区男性乳腺癌的临床及病理特征分析OA
Clinical and pathological characteristics of male breast cancer in Western Guangdong
目的 分析粤西地区男性乳腺癌(male breast cancer,MBC)患者的临床表现、病理特征、治疗方式及预后情况,以期为该罕见疾病的区域化诊疗实践提供参考依据.方法 回顾性分析2011 年1 月至2025 年11 月广东医科大学附属医院收治的30 例 MBC 患者的临床资料,对其基础资料、临床表现、病理类型、分子分型、治疗方法及生存曲线进行描述性分析.结果 30 例 MBC 患者平均发病年龄为(61.9±13.5)岁;临床表现主要为单侧无痛性乳房肿块,共20 例(66.7%);病理类型主要为浸润性导管癌/非特殊型浸润性癌,共22 例(73.3%);确诊时发现区域淋巴结转移13 例(43.3%).激素受体阳性率高,雌激素受体(estrogen receptor,ER)阳性21 例(70%),孕激素受体(progesterone receptor,PR)阳性21 例(70%).治疗主要采用以根治性乳房切除术为主的综合方案,术后辅以化疗和内分泌治疗.结论 中国粤西地区 MBC 患者发病年龄较早,诊断时分期偏晚,淋巴结转移率高.加强早期诊断和规范化综合治疗,有助于提升 MBC 的临床疗效.
Objective To analyze the clinical manifestations,pathological characteristics,and related influencing factors of male breast cancer(MBC)patients in Western Guangdong,China,so as to provide references for the regional diagnosis and treatment of this rare disease.Methods A retrospective analysis was conducted on the clinical data of 30 MBC patients from Western Guangdong admitted to the Affiliated Hos-pital of Guangdong Medical University from January 2011 to November 2025.Descriptive analysis was per-formed on their age,clinical manifestations,pathological types,molecular subtypes,and treatment regimens.Results The mean age of onset of the30 patients was(61.9±13.5)years.The main clinical manifestation was uni-lateral painless breast mass,occurring in20 cases(66.7%).The predominant pathological type was invasive ductal carcinoma/invasive carcinoma of no special type,accounting for 22 cases(73.3%).Regional lymph node metastasis was identified at diagnosis in 13 cases(43.3%).The positive rate of hormone receptors was high.Estrogen receptor(ER)was positive in 21 cases(70%),and progesterone receptor(PR)was positive in 21 cases(70%).Most patients received comprehensive treatment dominated by radical mastectomy,followed by adjuvant chemotherapy and endocrine therapy after surgery.Conclusions It suggests that MBC patients in Western Guangdong present with a relatively early age at onset,as well as later clinical stage and a high rate of lymph node metastasis at initial diagnosis.Strengthening early diagnosis and implementing standardized compre-hensive treatment is of great importance,which helps improve the clinical management of MBC.
李睿;王衡;林碧云;熊英环;王玉洲
广东医科大学附属医院肿瘤医院,广东 湛江 524001广东医科大学附属医院病理诊断中心,广东 湛江 524001广东医科大学附属医院临床生物样本库,广东 湛江 524001广东医科大学附属医院临床生物样本库,广东 湛江 524001广东医科大学附属医院肿瘤医院,广东 湛江 524001
乳腺肿瘤男性乳腺癌临床特征病理特征浸润性导管癌
breast neoplasmsmale breast cancerclinical featurespathological featuresinvasive ductal carcinoma
《中国现代手术学杂志》 2026 (2)
100-106,7
国家自然科学基金面上项目(81572606)
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