NHẬN XÉT ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ PHÂN TÍCH MỐI LIÊN QUAN VỚI DI CĂN HẠCH NÁCH Ở BỆNH NHÂN UNG THƯ VÚ

Abstract

The study describes clinical, paraclinical characteristics and analyzes the relationship of some of these with axillary lymph node metastasis in patients with stage I to IIIA breast cancer underwent radical surgical treatment at 103 Military Hospital, from January 2020 to May 2023.The results showed that: average age was 53.4±1.7 (26-84), 41.0% of patients were still menstruating, and 59.0% were menopausal. In most cases, the disease was detected because the patient feels the breast tumor themselves (accounting for 96.7%), the most common location of tumor was the upper - outer quadrant (rate of 59.0%), and the tumor often had unclear boundaries, firm and poor mobility (rate of 67.2%, 88.5% and 52.5% respectively), nipple abnormalities rate was 14.6%, including: inversion (11 .4%), drainage (1.6%), and inflammation (1.6%). On ultrasound, the majority of tumors had hypoechoic characteristics (rate 88.5%), mainly with Birads grades IV and V (rate of 72.1 and 19.7%). The invasive ductal carcinoma type accounts for the majority (75.4%), with the luminal subtype B having the highest rate (58.3%). The group of tumor size over 2cm and the loss of lymph node hilus structure on ultrasound increased the rate of axillary lymph node metastasis (p < 0.05).