文档介绍：乳腺叶状囊肉瘤的诊断和治疗
作者:许学杰刘国泉林力生林志君
【摘要】目的:探讨乳腺叶状囊肉瘤的诊治方法。方法:回顾分析经病理证实的18例乳腺叶状囊肉瘤患者临床资料。结果:本病在10岁和40岁高发,以无痛性乳房肿块为主要表现,术前均未明确诊断,行肿瘤扩大切除术13例,改良根治术3例,单纯乳房切除术2例;%(2/18),愈后良好。结论:辅助检查对乳腺叶状囊肉瘤定性诊断帮助不大,确诊要靠病理检查;治疗以肿瘤扩大切除术为主,局部复发后再次手术仍能取得较好效果。
【关键词】乳腺叶状囊肉瘤;诊断;治疗
Abstract Objective:To inquire into methods for the diagnosis and treatment of breast a phyllodes. Methods: Review and analyze clinical materials of 18 pathologically confirmed patients suffering from breast a phyllodes. Results: Breast a phyllodes occurs mainly in the population inbetween 10-year-old and 40-year-old and it has been characterized as the onset of painless breast mass. Not even one definite diagnosis could be made for all 18 patients until after surgical operation. Among the 18 patients, 13 underwent extended resection, another 3 underwent modified mastectomy, and the remaining 2 accepted simple mastectomy. The overall prognosis is good with local recurrence rate at % (2/18). Conclusion: Auxiliary examination is not of much help towards the conclusive diagnosis of breast a phyllodes, which has to rely on pathological examination. Extended resection is the major method for the treatment of breast a phyllodes and secondary operation can be still effective against local recurrence.
Key words Breast a phyllodes; Diagnosis; Treatment
乳腺叶状囊肉瘤是一种双相分化的肿瘤,由良性的上皮成分和间叶成分组成,是一种少见的纤维上皮性肿瘤,%~