【摘要】 隐性乳癌(OBC)十分少见,极易误诊、误治,延误病情。目的:为了尽早对OBC确诊,及时处理。方法:我们总结了15年来收治的17例病例,约占乳癌总数的0.34％。首发症状为腋块,1例为锁骨上肿块。术后乳腺标本均作连续切片,检出率为47％。结果:5年生存率为76.4％。结论:(1)OBC首发肿块大多位于腋下,偶可在锁骨上。(2)排除其他系统肿瘤后,腋块一经病理证实为转移腺癌,OBC诊断即可确立。(3)推荐OBC作乳癌改良根治术,同时注意个体化处理、术后放、化疗和综合治疗。更多还原

【Abstract】 Occult Breast Cacinoma (OBC) is very rare and always mistaken on diagnosis and theapy. Objective: For the reason of diagnosis and treatment early, Method: We observed 17 cas-es of OBC with the incidence of 0. 34% of all breast cancer in our hospital during the past 15 years. The first clinical sign is the axillary mass among the 17cases but the supraclavicular mass on-ly in one. The after operative specimen of breast was studied by serial section 8 of them (47% ) were found to be primary breast cancer. Result: The followed patients were found that the 5 - year survival rates were 76. 4% . Conclusion: (1) Most of the first tumor of OBC may occur in the axillary area, but occasionally spread to the supraclavicular lymph nodes. (2) On the basic of no other systems cancerous findings, once the axillary mass confirmed to be metastastic adenocarcino-ma, the OBC can be diagnosed. (3) We recommend the modified radical mastectomy combined with radiotherapy, chemotherapy and synthetical therapy after operation.更多还原