摘要
目的 探讨乳腺叶状肿瘤的疗效。方法 对经手术和病理诊断确诊的 3 0例乳腺叶状肿瘤的临床资料进行回顾性分析。结果 3 0例患者中良性叶状肿瘤 16例 ,交界性叶状肿瘤 9例 ,恶性 5例。行局部肿块切除 8例 ,单纯乳房切除术 8例 ,改良根治术 13例 ,姑息性肿块切除术 1例。其中 2 0例获随访 1～ 2 4年 ,随访期间死亡 1例 ,其余患者均存活 ,其中 4例因肿瘤复发再行乳房单纯切除或改良根治术。结论 手术方式的选择对预后影响较大 。
Objective To explore the diagnosis and treatment of phyllodes tumor of the breast. Methods Clinical data from 30 patients with phyllodes tumor confirmed surgically and pathologically were analyzed retrospectively. Results Of the 30 cases of phyllodes tumor, there were 16 cases of benign tumor, 9 cases of borderline tumor and 5 cases of malignant tumor according to the standard histological criteria. Local mass excision, total mastectomy, modified radical mastectomy and tumor mass excision were performed in 8, 8 and 13 patients, and 1 patient, respectively. A follow up of 20 cases for 1-24 years found 1 death, but all the others survived. Four patients out of the 20 patients underwent total mastectomy or modified radical mastectomy due to tumor recurrence. Conclusion The preoperative diagnosis of phyllodes tumor is difficult. Intraoperative frozen section examination of the suspicious lesions should be conducted. Multiple slices of the specimen should be performed. Surgical options are closely associated with the prognosis. Wide local excision or total mastectomy is recommended in surgical options.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2003年第23期2090-2093,共4页
Journal of Third Military Medical University
