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Hepatic metastases from breast cancer

机译：乳腺癌的肝转移

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摘要

The prognosis of patients with hepatic metastasis from breast cancer treated with systemic or regional chemotherapy is disappointing. When technically feasible, liver resection offers the best results. Eighteen patients out of 22 submitted to laparotomy underwent radical liver resection. Median follow-up from liver resection was 36 months. The median time interval between breast cancer diagnosis and disease recurrence was 35 months. Median disease-free survival and overall survival from liver resection were 66 and 74 months, respectively. Median survival time from breast cancer surgery was 88.5 months. Surgical treatment of liver metastases should be carried out on young and older patients alike when site of metastases is the liver alone. Neoadjuvant treatment and preoperative diagnostic laparoscopy should be planned in future experience.
机译：全身或区域化学疗法治疗的乳腺癌肝转移患者的预后令人失望。在技​​术上可行的情况下，肝切除术可获得最佳效果。 22名接受剖腹手术的患者中有18名接受了根治性肝切除术。肝脏切除术的中位随访时间为36个月。乳腺癌诊断与疾病复发之间的中位时间间隔为35个月。肝脏切除术的中位无病生存期和总生存期分别为66个月和74个月。乳腺癌手术的中位生存时间为88.5个月。当转移部位仅是肝脏时，无论是年轻患者还是老年患者，都应进行肝转移的外科治疗。将来的经验中应计划新辅助治疗和术前诊断性腹腔镜检查。

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  • 来源
    《Updates in Surgery》 |2010年第4期|143-148|共6页
  • 作者

    Arianna Rubino; Roberto Doci; Jean Claude Foteuh; Emanuela Morenghi; Susanna Fissi; Casimiro Giorgetta; Islam Abumalouh; Luca Di Tommaso; Leandro Gennari;

  • 作者单位

    Department of General Surgery I IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Department of General Surgery I IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Department of General Surgery I IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Biostatistic Unit IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Department of General Surgery I A. Manzoni Hospital Lecco Italy;

    Department of General Surgery I A. Manzoni Hospital Lecco Italy;

    Department of General Surgery I IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Department of Anatomic Pathology IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

    Department of General Surgery I IRCCS Istituto Clinico Humanitas Rozzano Milan Italy;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Liver metastases; Liver resection; Breast; Treatment;

    机译：肝转移;肝切除;乳腺;治疗;

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