摘要
目的 总结乳腺叶状囊肉瘤的诊治经验。方法 回顾分析 30例的诊断、治疗和随访结果。结果 30例中有 12例 (4 0 % )曾诊断为腺纤维瘤或巨纤维瘤而经历 1～ 3次局部切除术。行乳房切除术 2 3例 ,乳房切除并腋窝淋巴结清除 6例 ,局部扩大切除 1例。随访 2～ 15年 (中位 5 2年 )。 5年生存率 97% ,局部复发率 3 3 %。结论 乳腺巨腺纤维瘤为叶状囊肉瘤的一前期疾病 ,局部切除后反复复发者应行乳房切除。叶状囊肉瘤预后与肿瘤的组织学分级、肿瘤大小和手术切除是否彻底有关。
Objective\ To summarize the experience of diagnosis and treatment for cystosarcoma phyllodes of the breast(CSPB).Methods\ The diagnosis,treatment and follow-up results of 30 women with CSPB were reviewed retrospectively.Result\ 12 of 30 cases underwent local excision(1～3times),who were diagnosed as adenofibroma or massive adenofibroma of the breast.23 cases were treated by mastectomy,6 cases by mastectomy and axillary node dissection,and 1 case by wide local excision.The median follow-up was 5 2 years(2 to 15 years).The 5-year overall survival rate was 97% and local recurrence rate was 3 3%.Conclusion\ Massive adenofibroma of the breast is a precystosarcoma disease and mastectomy should be done if local recurrence occurs after local excision.The prognosis of CSPB is related to histological grade,tumor size and thoroughness of excision.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第5期275-276,共2页
Chinese Journal of Practical Surgery
关键词
乳腺叶状囊肉瘤
诊断
外科手术
Cystosarcoma phyllodes of the breast\ Surgical treatment\ Massive adenofibroma
