12例乳腺叶状囊肉瘤的临床分析

12 example mammary gland leaf--shape pouch sarcoma clinical analysis

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12例乳腺叶状囊肉瘤患者临床资料。结果：在10岁-40岁之间是本病的高发期，以无痛性乳房肿块为主要表现，术前均未明确诊断，行乳腺单纯切除术8例，改良根治术2例，包块切除术2例。结论：乳腺叶状囊肉瘤复发与病理形态改变、乳腺的解剖结构及所用术式有关。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。

Objective： Discusses the mammary gland leaf--shape pouch sarcoma the diagnosis method. Method： Reviews the analy- sis after the pathology confirmation 12 example mammary gland leaf--shape pouch sarcoma patient clinical material. Result： Between 10 year old of -- 40 year old is this sickness succeeding in the imperial civil service examinations time, take the indolence breast turnout as the main performance, before the technique, has not been clear about the diagnosis, the good mammary gland pure exci- sion method 8 examples, the improvement root governing skill 2 examples, wrap the block excision method 2 examples. Conclu- sions： The mammary gland lea/--shape pouch sarcoma recrudescence and the pathology shape change, mammary gland＇s dissection structure and uses the technique type to concern. Treatment by tumor expansion excision method primarily, after partial recrudes- cence, the surgery still could make the good progress once more.