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目的 总结乳腺叶状囊肉瘤的诊治经验。方法 回顾分析 17例的诊断、治疗和随访结果。结果 17例中 ,行广泛局部切除 2例 ,乳腺单纯切除 12例 ,乳腺切除并腋淋巴结清扫 3例。随访时间 1— 16年 (中位时间 5 7年 )。 5年生存率 98 3% ,5年局部复发率 5 8%。结论 乳腺叶状囊肉瘤的可靠诊断是病理组织学检查。手术可行多次局部切除 ,局部切除后反复复发者应行乳腺切除。对于少数多次复发和全身转移者 ,辅助化放疗将有助于减少复发和转移。乳腺叶状囊肉瘤预后与肿瘤的组织学分级、肿瘤大小和手术切除是否彻底有关
Objective To summarize the diagnosis and treatment of breast cystosarcoma. Methods Retrospective analysis of 17 cases of diagnosis, treatment and follow-up results. Results In 17 cases, extensive partial excision was performed in 2 cases, simple excision of the breast in 12 cases, excision of the mammary gland and axillary lymph node dissection in 3 cases. Follow-up time of 1 to 16 years (median time 57 years). 5-year survival rate of 98 3%, 5-year local recurrence rate of 5 8%. Conclusion The reliable diagnosis of breast phyllodes tumor is histopathological examination. Surgical feasible multiple partial resection, repeated resection after local excision should be performed mastectomy. Adjuvant radiotherapy will help reduce recurrence and metastasis for the few relapses and systemic metastases. Prostate cystosarcoma prognosis and tumor histological grade, tumor size and surgical excision is completely related