[乳腺肉瘤。两例临床病例及文献综述]
[Sarcoma of the breast. Two clinical cases and review of the literature].
作者信息
Corsale I, Ruggiero R, Mandato M, Foglia E, De Martino A, Zenone P, Procaccini E
机构信息
U.O. Chirurgia Generale, Regione Toscana, ASL 3 Pistoia.
出版信息
G Chir. 2002 Jun-Jul;23(6-7):243-6.
BACKGROUND
Sarcomas of the breast are rare neoplasm. Wide discordances exist about prognostic factors, therapy and life expectancy.
METHODS
Two women affected by sarcoma of the breast; prognostic aspects and therapy are analyzed.
RESULTS
After radical mastectomy one patient, with neoplasm of 4.5 cm in diameter, is still alive one year after the surgical procedure.
CONCLUSIONS
Diagnosis of the sarcomas of the breast is very difficult with the common radiological imaging, specially in the early phases when the sarcomas often can simulate absolutely benign lesions. Prognostic factors are histological type and degree, mytosis number for field and, probably, dimensions of the neoplasm. Sarcomas less than 3 cm in diameter can be admitted to conservative surgical procedure, but radical mastectomy is unavoidable when dimensions exceed this limit.
背景
乳腺肉瘤是罕见的肿瘤。在预后因素、治疗方法和预期寿命方面存在很大差异。
方法
分析了两名患有乳腺肉瘤的女性患者的预后情况和治疗方法。
结果
在根治性乳房切除术后，一名患有直径4.5厘米肿瘤的患者在手术后一年仍然存活。
结论
通过普通放射影像学检查很难诊断乳腺肉瘤，尤其是在早期，此时肉瘤常可模拟完全良性的病变。预后因素包括组织学类型和分级、每视野的核分裂数，可能还有肿瘤大小。直径小于3厘米的肉瘤可考虑行保守性手术，但当肿瘤大小超过此限时，根治性乳房切除术是不可避免的。
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