pinkpocket  >  질병 소개   >  유방암의 병기

유방암의 병기

종양의 크기와 특성에 따른 T 병기

T0

종양의 증거가 없음

Tis

관상피내암 또는 소엽상피내암

T1

종양의 최대 직경이 2cm 이하인 경우

T2

종양의 최대 직경이 2cm 초과, 5cm 이하인 경우

T3

종양의 최대 직경이 5cm 초과하는 경우

T4

종양이 흉벽이나 피부를 침범한 경우

림프절 전이 정도에 따른 N 병기

N0

림프절 전이가 없음

N1mi

림프절의 미세전이

N1

전이된 림프절 개수가 1~3개인 경우

N2

전이된 림프절 개수가 4~9개인 경우

다른 장기 전이 여부에 따른 M 병기

M0

원격전이가 없는 경우

M1

유방과 인접장기 외에 원격전이가 있는 경우

02_img_002

상피내암이라고도 불리는 0기암은 암세포가 유관이나 소엽의 기저막을 침범하지 않아서 상피 내에 국한된 경우를 말합니다.
유관 상피내암과 소엽 상피내암이 있습니다.
국제보건기구(WHO)의 기준을 따르면 암이 아닌 양성으로 분류되기도 한다. 다만, 유관 상피내암의 경우 유방암 1, 2기 치료와 비슷한 수준의 수술 또는 방사선치료가 필요한 경우도 있으므로, 유방암에 포함시켜 설명하기도 합니다.

02_img_003

침윤성 유방암은 암세포가 상피뿐만 아니라 기저막을 넘어 주위 조직을 침범한 경우를 말합니다.
1기암은 침윤성 유방암 중 가장 초기로, 종양의 크기가 2㎝ 이하이면서 겨드랑이 림프절에 전이가 없거나, 미세전이만 있으며, 전신 전이가 없는 경우입니다.
즉, 암 진행에서 초기 단계이므로 재발과 전이가 적어 생존율이 매우 높습니다.

02_img_004

유방암 2기는 암세포가 유관이나 소엽에서 퍼져 나왔으나, 아직 암이 멀리 퍼지지 않은 경우를 말합니다.
종양 크기와 림프절 전이 정도에 따라 2A기와 2B기로 나눌 수 있습니다.

2A

종양 크기가 2cm 이하이고 림프절 전이 개수가 1~3개이거나,
종양 크기가 2cm 초과, 5cm 이하이고 림프절 전이가 없는 경우

2B

종양 크기가 2cm 초과, 5cm 이하이고, 림프절 전이 개수가 1~3개이거나,
종양 크기가 5cm 초과이면서 림프절 전이가 없는 경우

02_img_005.png

유방암 3기는 종양이 흉벽 또는 피부를 침범했거나 염증성 유방암인 경우, 종양 크기가 5cm 이상이고 림프절 전이가 4개 이상일 경우 등을 말합니다.
종양 크기와 림프절 전이 정도에 따라 A, B, C기로 나눌 수 있습니다.

3A

종양 크기가 5cm 이상이면서 겨드랑이 림프절 전이 개수가 1-3개인 경우
종양의 크기와 무관하게 겨드랑이 림프절 전이 개수가 4-9개인 경우

3B

겨드랑이 림프절 또는 흉골 근처 림프절 전이 개수가 최대 9개인 경우
종양의 크기와 무관하게 피부나 흉벽 또는 둘 다 모두를 침범한 상태인 경우
유방의 부종, 유방의 궤양이 있는 경우, 또는 염증성 유방암인 경우

3C

종양의 크기와 무관하게 겨드랑이 림프절 전이 개수가 10개 이상이거나,
같은 쪽 쇄골 상/하 림프절 전이가 있거나,
같은 쪽 내유 림프절과 겨드랑이 림프절에 모두 전이가 있는 경우

02_img_006

전이성 유방암이라고도 하는 4기 유방암은 원발 유방암의 치료와 관계 없이 원격장기에서 발견된 유방암을 말합니다.
전이성 유방암의 치료는 유방암의 원발 병소에 대한 치료와 더불어 원격 전이에 대한 치료를 고려해야 하며, 환자의 삶의 질을 향상시키기 위한 완화요법을 시행합니다.

치료목표는 가능하다면 근치적 치료, 암의 진행억제, 생존기간 연장, 암 관련 증상 완화, 생활 활동 능력 증진, 삶의 질 향상 등을 포함합니다.

치료방법은 국소구역재발과 전신전이에 따라 구분하며 국소구역 재발의 치료는 수술, 방사선 치료 등을 사용한다.
국소치료와 동시에 필요한 경우, 전신치료인 항암화학요법, 항암내분비요법, 표적치료, 골용해억제제, 완화요법 등을 시행합니다.

a

DR CATHERINE CASTILLO

Neurologist

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