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目的:提高对乳腺癌术后附件及宫颈转移的诊疗认识。方法:分析我科收治的1例乳腺癌术后首次以附件及宫颈转移性乳腺癌就诊患者的临床资料,并结合文献进行讨论。结果:乳腺癌术后最常见的转移部位为骨、肝脏、肺及颅内,女性生殖系统首发转移极其罕见,这种少见的转移性乳腺癌临床容易漏诊及误诊,乳腺癌术后女性生殖系统检查应列为常规。结论:乳腺癌术后定期复查应将妇科检查列为常规,如果发现生殖系统异常病变应早期确诊,早期治疗,以免漏诊转移性乳腺癌。
Objective: To improve diagnosis and treatment of postoperative accessories and cervical metastasis of breast cancer. Methods: The clinical data of 1 patient with breast cancer who were treated by accessory and cervical metastatic breast cancer after operation for the first time were analyzed and discussed in the literature. Results: The most common metastatic sites of breast cancer were bone, liver, lung and intracranial. The first transfer of female reproductive system was extremely rare. The rare metastatic breast cancer was easily misdiagnosed and misdiagnosed. The postoperative female reproductive system of breast cancer Inspection should be listed as a routine. Conclusion: Gynecological examination should be routinely performed after regular review of breast cancer. If abnormal lesions of reproductive system are found, they should be diagnosed early and treated early to avoid misdiagnosis of metastatic breast cancer.