[Primary epidermoid carcinoma of the breast. Clinical, histopathologic and prognostic study of 14 patients].
[Primary epidermoid carcinoma of the breast. Clinical, histopathologic and prognostic study of 14 patients].
复制标题
[乳腺癌原发性表皮样癌。
作者：
Y. Jin;F. Campana;J. Vilcoq;P. Vielh;P. Schlienger;G. Mathieu;A. Fourquet
我们回顾了14例表皮样乳腺癌患者的病历，无论是单纯的还是伴有少量腺体成分的。这些患者于1970年至1989年在居里研究所接受治疗，占同期所有乳腺癌患者的0.06%。没有临床或放射学标准可以帮助区分这些形式的其他类型的乳腺癌。13例初次腋窝淋巴结清扫患者中有4例淋巴结受累。手术和放疗的各种组合被用来治疗这些患者。14个激素受体水平中有一个是阳性的。中位生存期为54个月（9个月-144个月）。局部复发2例，转移7例。随访5年后未发生事件。这表明表皮样乳腺肿瘤的结果更接近于其他表皮样肿瘤，而不是其他类型的乳腺癌。
We reviewed the charts of 14 patients with epidermoid breast carcinoma, whether pure or associated with a minor glandular component. These patients were treated between 1970 and 1989 at the Institut Curie and represented 0.06% of all breast cancer patients treated during the same period. No clinical or radiological criteria could help to discriminate these forms from other types of breast cancer. Four out of 13 patients with initial axillary node dissection had nodal involvement. Various combinations of surgery and radiotherapy were used to treat these patients. One out of 14 hormone receptor levels was positive. Median survival was 54 months (9 months-144 months). Two patients had a local recurrence and 7 had metastasis. No event occurred beyond 5 years of follow-up. This suggest that the outcome of epidermoid breast tumors is closer to that of other epidermoid tumors, rather than to other types of breast cancer.