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題 名 | Breast Carcinoma in Patients with Dermatomyositis: A Retropspective Analysis of Eight Cases=乳癌合併皮肌炎--8個病例的回顧性分析 |
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作 者 | 葉俊男; 陳訓徹; 黃燦龍; 陳敏夫; 廖宗琦; 曾興隆; | 書刊名 | 長庚醫學 |
卷 期 | 25:6 2002.06[民91.06] |
頁 次 | 頁374-380 |
分類號 | 416.226 |
關鍵詞 | 乳癌; 皮肌炎; Breast carcinoma; Dermatomyositis; |
語 文 | 英文(English) |
中文摘要 | 背景:皮肌炎與乳癌之間的關聯性仍未完全了解。這個回溯性的研究乃是分析一群乳癌病人合併皮肌炎的臨床特徵以進一步瞭解其相關性。 方法:對1990至1998年間128位患有皮肌炎或多發性肌肉炎患者做回溯性病例分析,其中有8位乳癌病人合併皮肌炎,我們就其臨床表現及預後做分析。 結果:患有乳癌合併皮肌炎之病人,其年齡比一般乳癌病患大,皮肌炎可以同時發生或是於發現乳癌之前惍之後。2位病患發生於乳癌發現之前,5位病患與乳癌同時發現,1位病患發生於乳癌發現之後。這8位乳癌病人4位為stage IV,1位為stage IIIA及3位為stage IIIB乳癌,追蹤期限為2至79個月。5位因為乳癌復發或他處轉移死亡,其中3位乳癌病人接受手術後不僅乳癌不復發且皮肌炎獲得改善。 結論:在臺灣,患皮肌炎病人其罹患乳癌之比例較高,外科處置乳癌後可以在一些病患改善皮允炎之症狀並可以戒斷類固醇之使用。 |
英文摘要 | Backgorund: The association between dermatomyositis and breast carcinoma has not been fully evaluated yet. The aim of the study was to clarify characteristics of the association between these two diseases. Methods: The medical records of 128 patients with dermatiomyositis or ploymyositis from 1990 to 1998 were retrospectively reviewed. Eight patients (6.3%) were identified with dermatomyositis which was associated with an underlying breast carcinoma. Clinical features, laboratory data, electromyograms, muscle biopsies, and the prognoses of these patients were assessed. Results: The mean age of the 8 patients with breast carcinoma and dermatomyositis (62.1±6.7 years) was larger than theat of patients with breast carcinoma with out dermatomyositis (48.5±11.8 years). Dermatomyositis preceded breast carcinoma in 2 patients, was concurrent with breast carcinoma in 5 patients, and followed breast carcinoma in 1 patient. Of these 8 patients, 4 had TNM classification stage IV (M1) breast cancer, 1 had IIIA (T2N2M0) breast cancer, and 3 had IIB (T2N1M0) breast cancer. The follow-up period ranged from 2 to 79 (median, 21) months. Five patients died of recurrence or distant metastasis, and the remaining 3 patients had disease-free survival, with a follow-up period ranging from 11 to 28 (median, 20) months. Foru of 5 patients had parallel improvement in dermatomyositis after surgical treatment of breast carcinoma. Conclusion: In Taiwan, dermatomyositis is associated with an increased incidence of breast carcinoma. The mean age of t he 8 patients with breast carcinoma and dermatomyositis was significantly larger than that of patients with breast carcinoma without dermatomyositis. If present, breast carcinoma can precede, occur concurrently with, or follow the diagnosis of dermatomyositis. Surgical treatment of breast carcinoma may alleviate the course of dermatomyositis and eliminate the need for steroids in some cases. |
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