Liposarcoma of the breast is a very rare malignant tumor. It can clinically manifest as a palpable breast mass and mimic primary breast cancer. We report an unusual case of a 51-year-old female who presented with an a...Liposarcoma of the breast is a very rare malignant tumor. It can clinically manifest as a palpable breast mass and mimic primary breast cancer. We report an unusual case of a 51-year-old female who presented with an asymptomatic right breast mass, which was histologically diagnosed as well differentiated liposarcoma arisen within malignant phyllodes tumor. The patient underwent breast conserving surgery, received no adjuvant treatment and is disease-free after 2 years. Radiological and histopathological features are presented and described in detail. Data from the literature are presented and therapy recommendations discussed.展开更多
Phyllode tumor （PT） is extremely rare tumor of the breast. Distant metastasis occurs in 10-20% of patients with malignant phyllode tumor. The most common sites of metastases are the lungs and bones. Although theoret...Phyllode tumor （PT） is extremely rare tumor of the breast. Distant metastasis occurs in 10-20% of patients with malignant phyllode tumor. The most common sites of metastases are the lungs and bones. Although theoretically any organ may have metastasis, an isolated duodenum metastasis has not been documented as yet in the English-language literature. We report herein a case with a isolated duodenal metastasis from PT of breast in a 31 year-old-woman who underwent right mastectomy 4 years before because of the recurrent malignant PT. She presented to our hospital with massive upper gastrointestinal bleeding. Clinical evaluation revealed a huge mass originated from duodenum. Urgent laparotomy and pancreaticoduodenectomy were carried out in order to remove the bleeding duodenal mass. The pathologic examination of the resected specimen showed a malignant spindle cell tumor consistent with metastatic malignant PT. Our case of gastrointestinal bleeding due to an isolated duodenal metastasis as a result of hematogenous spread from malignant phyllode tumor of breast is unique in the English literature and pancreaticoduodenectomy is a curative treatment for patients with isolated duodenal involvement.展开更多
目的:分析乳腺分叶状肿瘤(phyllodes tumor of the breast,PTB)超声造影的图像特征及其与病理的相关性。方法:回顾性分析42例经手术或穿刺活检病理证实为PTB的患者,总结并分析乳腺叶状肿瘤超声造影的图像特征,比较良恶性的组间差异。结...目的:分析乳腺分叶状肿瘤(phyllodes tumor of the breast,PTB)超声造影的图像特征及其与病理的相关性。方法:回顾性分析42例经手术或穿刺活检病理证实为PTB的患者,总结并分析乳腺叶状肿瘤超声造影的图像特征,比较良恶性的组间差异。结果:42例叶状肿瘤中良性21例,交界性5例,恶性16例,造影的图像特征:恶性及交界性叶状肿瘤结节呈高增强,造影剂分布不均匀、可见部分充盈缺损、边缘呈放射状或蟹足样增强、增强后范围较二维增大,与良性叶状肿瘤的图像特征差异有统计学意义(P<0.05)。结论:乳腺叶状肿瘤的超声造影图像多样,对其性质的判断有一定的提示作用。展开更多
目的:回顾性分析恶性乳腺叶状肿瘤(phyllodes tumors of the breast,PTs)初次钼靶X线检查特征以及超声检测结果,总结两种检查手段的诊断价值。方法:回顾性分析15例经手术病理证实为恶性PTs患者的初次X线特征及超声检查的影像学表现,了...目的:回顾性分析恶性乳腺叶状肿瘤(phyllodes tumors of the breast,PTs)初次钼靶X线检查特征以及超声检测结果,总结两种检查手段的诊断价值。方法:回顾性分析15例经手术病理证实为恶性PTs患者的初次X线特征及超声检查的影像学表现,了解两种检查手段对于恶性PTs的特异性。结果:15例患者中,钼靶X线检查只发现6例乳腺组织出现损害,其余9例患者钼靶X线均表现为圆形中等组织密度且边界清楚的良性病变,均无法确定其病理性质,而超声检查均有效诊断为PTs,也无法明确区分肿瘤良性及恶性性质。结论:钼靶X线检查对于PTs以及恶性PTs影像学诊断价值有限,而超声检查联合超声引导粗针穿刺活检对于恶性PTs诊断更为行之有效。展开更多
文摘Liposarcoma of the breast is a very rare malignant tumor. It can clinically manifest as a palpable breast mass and mimic primary breast cancer. We report an unusual case of a 51-year-old female who presented with an asymptomatic right breast mass, which was histologically diagnosed as well differentiated liposarcoma arisen within malignant phyllodes tumor. The patient underwent breast conserving surgery, received no adjuvant treatment and is disease-free after 2 years. Radiological and histopathological features are presented and described in detail. Data from the literature are presented and therapy recommendations discussed.
文摘Phyllode tumor （PT） is extremely rare tumor of the breast. Distant metastasis occurs in 10-20% of patients with malignant phyllode tumor. The most common sites of metastases are the lungs and bones. Although theoretically any organ may have metastasis, an isolated duodenum metastasis has not been documented as yet in the English-language literature. We report herein a case with a isolated duodenal metastasis from PT of breast in a 31 year-old-woman who underwent right mastectomy 4 years before because of the recurrent malignant PT. She presented to our hospital with massive upper gastrointestinal bleeding. Clinical evaluation revealed a huge mass originated from duodenum. Urgent laparotomy and pancreaticoduodenectomy were carried out in order to remove the bleeding duodenal mass. The pathologic examination of the resected specimen showed a malignant spindle cell tumor consistent with metastatic malignant PT. Our case of gastrointestinal bleeding due to an isolated duodenal metastasis as a result of hematogenous spread from malignant phyllode tumor of breast is unique in the English literature and pancreaticoduodenectomy is a curative treatment for patients with isolated duodenal involvement.
文摘目的:分析乳腺分叶状肿瘤(phyllodes tumor of the breast,PTB)超声造影的图像特征及其与病理的相关性。方法:回顾性分析42例经手术或穿刺活检病理证实为PTB的患者,总结并分析乳腺叶状肿瘤超声造影的图像特征,比较良恶性的组间差异。结果:42例叶状肿瘤中良性21例,交界性5例,恶性16例,造影的图像特征:恶性及交界性叶状肿瘤结节呈高增强,造影剂分布不均匀、可见部分充盈缺损、边缘呈放射状或蟹足样增强、增强后范围较二维增大,与良性叶状肿瘤的图像特征差异有统计学意义(P<0.05)。结论:乳腺叶状肿瘤的超声造影图像多样,对其性质的判断有一定的提示作用。
文摘目的:回顾性分析恶性乳腺叶状肿瘤(phyllodes tumors of the breast,PTs)初次钼靶X线检查特征以及超声检测结果,总结两种检查手段的诊断价值。方法:回顾性分析15例经手术病理证实为恶性PTs患者的初次X线特征及超声检查的影像学表现,了解两种检查手段对于恶性PTs的特异性。结果:15例患者中,钼靶X线检查只发现6例乳腺组织出现损害,其余9例患者钼靶X线均表现为圆形中等组织密度且边界清楚的良性病变,均无法确定其病理性质,而超声检查均有效诊断为PTs,也无法明确区分肿瘤良性及恶性性质。结论:钼靶X线检查对于PTs以及恶性PTs影像学诊断价值有限,而超声检查联合超声引导粗针穿刺活检对于恶性PTs诊断更为行之有效。
