摘要
目的探讨原发性乳腺恶性淋巴瘤(PBL)的诊断方法及病理特征和预后。方法从2001年1月～2011年12月,对19例我院手术治疗并经过病理确诊的PBL患者临床病理资料及随访结果进行回顾性分析;计算其术后1、3和5年生存时间。结果全部患者均为术后病理及免疫组化确诊。按Abor分期标准:I期9例、II期7例、III期3例。11例行肿块局部切除术,4例行单乳切除或区段切除术加腋窝淋巴结清扫,4例行改良根治术;19例均接受化疗,其中7例联合放疗;1例失访,随访18例,术后1,3,5年生存率分别为100%、77.8%、55.6%。结论 PBL的术前诊断率低,恶性程度相对较高,局部切除联合放化疗有助于改善预后。
Objective To explore the primary breast malignant lymphoma （PBL） diagnosis methods and pathologic char- aeteristies and prognosis. Methods From January 2001 to December 2011, The clinical pathology material and PBL follow-up re- suits of 19 PBL patients with our hospital operative and pathological diagnosis were retrospectively analyzed; Calculating the post- operative 1,3 and 5 years survival time. Results All eases were for postoperative pathologic and immunohistochemical diagnosis. According to Abor staging standard： Phase 1 and phase ll were 9 and 7 eases respectively, 3 eases of phase 111. Mass local resec- tion and modified radical mastectomy were performed in 11 and 4 cases respectively, Simple mastectomy or section with resection for axillary lymph node dissection in 4 cases ; Chemotherapy were performed in all patients, among them 7 cases of combined radi- ationtherapy ; Fallow-up 18 cases, postoperative 1,3 and 5 years survival rates were 100% , 77.8%, 55.6% respectively. Con- elusion The preoperative diagnosis rate in PBL were low and the degree of malignancy relatively high, local excision combined chemoradiotherapy help to improve the prognosis.
出处
《四川医学》
CAS
2012年第12期2085-2087,共3页
Sichuan Medical Journal
关键词
乳腺肿瘤
恶性淋巴瘤
临床病理特征
breast carcinoma
malignant lymphoma
clinicopathological characteristics
