乳腺叶状肿瘤的临床病理诊断分析

Analysis of Clinical and Pathological Diagnosis of Phyllodes Tumor of the Breast

目的:探析乳腺叶状肿瘤的临床特征及其病理特征。方法:选取2013年1月-2014年12月在本院就诊的32例乳腺叶状肿瘤患者,回顾性分析32例患者的临床资料。结果:良性叶状肿瘤的生长方式多为膨胀性,肿瘤的核异型性为轻度,核分裂出现的情况较少,且拥有较低的肿瘤坏死率和较慢的间质生长速度。但是交界性叶状肿瘤与恶性叶状肿瘤的生长方式多为浸润型,核异型性较为常见,核分裂的情况多发,且拥有较高的肿瘤坏死率和较快的间质生长速度。另外,叶状肿瘤行手术治疗后,复发率与病理特征,手术治疗方式等有着一定的联系。结论:良性肿瘤的发病年龄较交界性、恶性肿瘤早,恶性程度低,侵袭性弱,肿瘤复发的情况与肿瘤类型、肿瘤病理特征以及手术方式存在一定的关联性。

Objective： To analyze the clinical characteristics of leaf breast cancer and its pathological features. Method： 32 breast cancer patients in our hospital were selected from January 2013 to December 2014, the clinical data of 32 cases of patients were retrospectively analyzed. Result： Leafy benign tumor growth way more for swelling, tumor nuclear atypia was mild, the emergence of nuclear fission was less , with a lower rate of tumor necrosis and interstitial growth speed slow.But leafy border leaf tumors and malignant tumor growth way more for invasion type, nuclear new sex was common, nuclear division multiple, had high rate of tumor necrosis and interstitial growth speed faster.In addition, leaf tumors after surgical treatment, recurrence rate and pathological characteristics, surgical treatment and so on had certain relevance.Conclusion： Benign tumor onset age is earlier than border and malignant tumor, malignant is lower degree, invasive is weaker, the situation of the tumor recurrence and tumor type, tumor pathological characteristics and surgical procedure have certain relevance.