摘要
目的探讨乳腺叶状肿瘤的诊断及治疗方法。方法回顾性分析我院门诊及住院收治的42例乳腺叶状肿瘤患者的临床资料。观察并评估乳腺叶状肿瘤的疗效及预后。结果 42例患者病理诊断良性25例(59.52%),交界性11例(26.19%),恶性6例(14.29%)。单纯肿块扩大切除术术后复发11例,复发时间为上次治疗后3～25个月。单纯乳房切除组1例局部复发,复发时间为术后8个月。单纯乳房切除加低位淋巴结切除术12例,随访4～37个月均未见复发。结论乳腺叶状肿瘤是乳腺疾病中少见的一种纤维上皮性肿瘤,属于潜在恶性肿瘤,具有复发及远处转移的风险,预后较好,目前乳腺叶状肿瘤的治疗首选手术治疗,其余辅助治疗效果仍在探讨中。
Objective To investigate the diagnosis and management of phyllodes tumors of breast.Methods 42 patients with hyllodes tumors of breast were gathered and analysed.Results 25 cases（59.52%） of benign tumor,11 cases（26.19%） of borderline tumor and 6 cases（14.29%） of malignant tumor.The local recurrenence rate is 11 in wide-local-excision-group and 1 in total-breast-excision-group.Conclusion Phyllodes tumors of breast can be classified as three types,and all of the types have the risk of recurrence and metastasis.Surgical operation is the first choice for treatment of this disease.
出处
《西部医学》
2012年第5期948-949,共2页
Medical Journal of West China
关键词
乳腺叶状肿瘤
病理分级
手术治疗
临床分析
Phyllodes tumors
Pathological classification
Surgery
Clinical analysis
