论文部分内容阅读
目的探讨乳腺叶状肿瘤的临床表现、病理特征、鉴别诊断以及与治疗、预后的关系。方法复习11例乳腺叶状肿瘤的临床及病理资料,按WHO标准重新分类,并作回顾性分析。结果肿瘤分三类:良性者6例,交界者4例,恶性者1例。乳腺叶状肿瘤临床易误诊为乳腺纤维腺瘤,此外,还要与癌肉瘤、其他肉瘤及化生性癌鉴别。结论临床及病理均易误诊,病理诊断时应多部位取材,镜下以细胞最密集区为准,并做综合分析。此瘤易复发,良性者应做乳腺扩大切除术,复发的交界性和恶性者应行乳腺切除术。
Objective To investigate the clinical manifestations, pathological features, differential diagnosis of breast phyllodes tumor and its relationship with treatment and prognosis. Methods The clinical and pathological data of 11 cases of breast phyllodes tumor were reviewed and reclassified according to the WHO standard and retrospectively analyzed. Results There were three types of tumors: benign in 6 cases, borderline in 4 cases and malignant in 1 case. Breast leaf tumor clinically misdiagnosed as breast fibroadenoma, in addition, but also with carcinoid sarcoma, other sarcomas and metaplastic cancer identification. Conclusions Both clinical and pathological findings are easily misdiagnosed. When the pathological diagnosis is made, multiple sites should be taken. The most densely populated area in the microscope shall prevail and a comprehensive analysis shall be made. This tumor is easy to relapse, benign enlargement and excision of the breast should be done, relapsed and malignant should be performed mastectomy.