Abstract: 【Abstract】〓Objective〓To assess the value of the liver resection in breast cancer patients with liver metastasis. Methods〓Between March 2001 and July 2009, a total of 1357 patients underwent breast cancer surgery in Taishan People's Hospital were enrolled. Among them, 59 patients were confirmed as liver metastasis. All patients were assigned into: (A) accepted liver resection (n=11); (B) only with conservative treatment (n=48). The survival rate and survival time after liver resection were measured. Results〓The mean survival time of A group was 24.44±16.23 months. There was a statistically advance between our research and traditional therapies. The mean survival time in groups A were significantly longer than that in group B (P<0.05). Conclusion〓Our study suggested that liver resection results in advanced survival time for metastasis breast cancer patients, especially in patients with solitary liver metastasis.

Key words: Breast cancer, Liver metastasis, Liver resection, Survival analysis

摘要： 【摘要】〓目的〓评估乳腺癌患者术后肝转移再次接受肝转移癌切除术的价值。方法〓回顾性分析2001年3月至2009年7月于台山市人民医院接受乳腺癌根治术患者1357人,其中术后出现肝脏转移者59人,分为两组:接受肝切除患者为11人(A组);出现肝转移但仅行保守治疗患者48例(B组);对两组患者的资料进行生存分析。结果〓11名乳腺癌复发患者接受再次肝切除的中位生存时间为23.4月,平均生存时间长于未接受肝切除组(14.5月),两组间有明显差异(P<0.05。结论〓本研究提示肝切除术能够延长肝脏复发性乳腺癌患者的生存期,特别是对单纯肝脏复发的患者,肝切除术是值得推荐的治疗方式。

关键词: 乳腺癌, 肝转移, 肝切除, 生存分析