【摘要】 目的 探讨隐性乳腺癌发病率、诊断、治疗与预后。方法 对我院1985年4月～2004年12月8例隐性乳腺癌进行回顾性调查分析。结果 隐性乳腺癌少见，本文报告8例，占1985年4月～2004年12月912例乳腺癌的0.9%。本病首发症状是转移性腋下肿块，乳腺触不到肿块，乳腺外检查亦无可疑征象，确诊时多为中晚期癌。结论 强调腋淋巴结转移癌在没有明显乳外癌灶的情况下，应视为乳腺癌而尽早予以治疗。可手术的隐性乳腺癌宜行根治术，乳腺内、外检查未发现原发病变的腋转移癌应按乳腺癌治疗并密切随诊。

    【关键词】 隐性乳腺癌；腋淋巴结；根治术

    Occult carcinoma of the breast:a report of 8 cases

    DING Yuan-lin,ZHENG Shu-sen.

    Tianjin Fifth Central Hospital,Tianjin 300450,China

    【Abstract】 Objective To discuss the incidence,diagnosis,treatment and prognosis of the occult carcinoma of the breast.Methods Through the reviewed investigation and analysis of the 8 cases of occult breast carcinoma of our department from April 1985 to December 2004.Results The occult carcinoma of the breast is rather rare.It was found in 8(0.9%)cases among 912 patients with breast cancer in our department during April 1985 to December 2004.The clinical symptom of this disease mainly was axillary metastatic mass without palpable tumor in the breast.When a definite was made,most of them were medium or advanced stage cancer.Conclusion We put much importance on their early detection and treatment.It was recommended that a metastatic carcinoma found in axillary lymph node without evidence of extramammary or mammary primary lesion should be treated as a breast cancer.In operable occult breast cancer,radical mastectomy is recommended. ......