Udelnow A, Leinung S, Dannenberg C, Trantakis Ch, Schober R, Schönfelder M, Würl P
Chirurgische Klinik und Poliklinik I der Universität Leipzig, Germany.
Zentralbl Chir. 2002 Mar;127(3):243-5. doi: 10.1055/s-2002-24245.
The case of a 72-year-old woman with a high-partially located tumor grown within a half year to a magnitude of 8.5 x 11 x 11 cm is reported. The patient remembered a mastectomy and axillary lymphadenectomy followed by chemotherapy and radiation 8 years ago. Therefore we assumed a skeletal metastasis of a breast cancer. After wide excision, an unusual morphology was found, allowing only a classification as a pleomorphic sarcoma. Searching for the pathohistological evaluation of the former breast tumor, a cystosarcoma phylloides malignum could be found out. The tumor described here can be identified as a metastasis of this rare neoplasm.
报告了一名72岁女性病例，其肿瘤位于高位且部分位于体内，半年内生长至8.5×11×11厘米大小。患者记得8年前接受了乳房切除术和腋窝淋巴结清扫术，随后进行了化疗和放疗。因此，我们推测为乳腺癌骨转移。广泛切除后，发现了一种不寻常的形态，仅可分类为多形性肉瘤。在对先前乳腺肿瘤进行病理组织学评估时，发现了恶性叶状囊肉瘤。此处描述的肿瘤可确定为这种罕见肿瘤的转移灶。
