论文部分内容阅读
目的探讨纤维腺瘤与叶状肿瘤的病理鉴别诊断。方法对3例纤维腺瘤复发后病例进行临床病史和组织学复习并复习文献。结果 3例首次活检时均诊断为纤维腺瘤,其中1例复发后诊断为叶状肿瘤,1例复发后诊断为纤维腺瘤伴早期叶状肿瘤改变,1例第1次复发后仍诊断纤维腺瘤,但第2次复发后诊断为叶状肿瘤。结论纤维腺瘤与叶状肿瘤的鉴别要紧密结合临床和影像学,并掌握早期叶状肿瘤的几个组织学特点。叶状肿瘤的发病年龄不仅仅局限于中老年女性,年轻女性也有叶状肿瘤的发生。
Objective To investigate the differential diagnosis of fibroadenoma and phyllodes tumor. Methods Three cases of fibroadenoma recurrence after clinical history and histological review and review of the literature. Results All the three cases were diagnosed as fibroadenoma by first biopsy. One case was diagnosed as phyllodes tumor after recurrence, one case was diagnosed as fibroadenoma with early leaf tumor after recurrence, and one case still diagnosed fibrosis after the first recurrence Adenoma, but after the second relapse diagnosed as phyllodes tumor. Conclusion The identification of fibroadenoma and phyllodes tumor should be closely related to clinical and radiological features and to grasp several histological features of early leaf tumor. The age of onset of phyllodes tumor is not limited to middle-aged and elderly women, young women also have phyllodes tumor.