【摘要】 根据４０２例乳腺癌术后复发患者的临床回顾性分析的资料，探讨影响乳腺癌术后复发转移的预后因素及其改善疗效的途径。分析结果表明，６０％的乳腺癌复发患者在复发后２年内死亡。乳腺癌复发患者复发后的２年生存率与患者的年龄、月经状况、雌激素受体与孕酮受体状况、手术方式、预防或治疗性去势无关，与首发部位、原发肿瘤分期、肿瘤大小、手术时淋巴结转移数、复发后治疗情况及无复发间期长短有关。文章指出重视手术操作，合理安排术后治疗及加强术后患者的随诊，力求改善疗效。更多还原

【Abstract】 Four hundred and two Patients with recurrent breast cancer following mastectomy were studied retrospectively to investigate the factors influencing prognosis after recurrence and the ways to improve the therapeutic results. Of these, 60% of recurrence were discovered within two years after initial surgery. 76% cases with recurrence survived less than two years after discovery of recurrence. The post-relapse 2 year survival was not significantly associated with patients’ age, menopausal status, hormone receptor status, surgical management, with or without castration. The authors suggest that careful surgical treatment, reasonable postoperative management and regular follow-up should be emphasized to improve the therapeutic result.更多还原