[Exfoliative cancer cells in the surgical field of breast cancer].
OBJECTIVE: To study the relationship between exfoliative cancer cells in the surgical field and pathological stages of breast cancer and provide a theoretical basis for killing or removing of the exfoliative cancer cells in the surgical field. METHOD: Cytological examination of surgical field washings was performed in 104 patients with breast cancer. The results and pathological stages were compared and analysed. RESULT: Exfoliative cancer cells were found in the surgical field washings in 36 of 104 (34.6%). Stage I, II and III showed a positive rate of 3.8%, 29.8% and 85.7%. The positive rate of T(1), T(2) and beyond T(3) were 10.8%, 33.3% and 77.3%, respectively. When the number of axillary metastatic lymph nodes was over four, the positive rate of exfoliative cancer cell was 76.0% and only 13.5% if no axillary lymph node metastasis. CONCLUSION: Killing or removing of the exfoliative cancer cells in the surgical field of breast cancer is necessary.