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乳腺叶状囊肉瘤:11例临床病理研究

Cystosarcoma phyllodes of the breast: a clinicopathological study of 11 cases.

作者信息

Alam I, Awad Z T, Given H F

机构信息

Department of Surgery, Academic Surgical Unit, University College Hospital Galway, National University of Ireland, Ireland.

出版信息

Ir Med J. 2003 Jun;96(6):179-80.

PMID:12926760
Abstract

Eleven cases of phyllodes tumour were managed at a single institute over 12 years period. All patients were females, the mean age was 48 years, painless breast lump was the commonest presentation, the left breast was affected in (55%), the upper outer quadrant was the most commonly involved site (60%). Four cases were malignant and the remaining 7 were benign. The diagnostic accuracy rate of fine needle aspiration cytology and intraoperative frozen section was 17% and 37.5% respectively. Adequate treatment was wide local excision in benign cases and simple mastectomy in malignant tumour. At a mean follow-up of 37 months the local recurrence and distant metastasis rate was 27% and 9% respectively.

摘要

在12年期间,一家机构共处理了11例叶状肿瘤病例。所有患者均为女性,平均年龄48岁,无痛性乳房肿块是最常见的表现,左侧乳房受累(55%),外上象限是最常累及的部位(60%)。4例为恶性,其余7例为良性。细针穿刺细胞学检查和术中冰冻切片的诊断准确率分别为17%和37.5%。良性病例的充分治疗是广泛局部切除,恶性肿瘤则行单纯乳房切除术。平均随访37个月时,局部复发率和远处转移率分别为27%和9%。

相似文献

1
Cystosarcoma phyllodes of the breast: a clinicopathological study of 11 cases.乳腺叶状囊肉瘤:11例临床病理研究
Ir Med J. 2003 Jun;96(6):179-80.
2
[Cystosarcoma phylloides of the breast. A retrospective analysis of 12 cases].[乳腺叶状囊肉瘤。12例回顾性分析]
Geburtshilfe Frauenheilkd. 1996 Jan;56(1):35-40.
3
Diagnosis and management of phyllodes tumour of the breast: experience of 33 cases at a specialist centre.乳腺叶状肿瘤的诊断与治疗:一家专科中心33例病例的经验
Ann R Coll Surg Engl. 1995 May;77(3):181-4.
4
Cystosarcoma phylloides of the breast: a review of clinical, pathological and therapeutic option in 18 cases.乳腺叶状囊肉瘤:18例临床、病理及治疗选择的回顾
Int Surg. 1991 Apr-Jun;76(2):101-4.
5
Surgical treatment of phyllodes tumors of the breast: retrospective review of 172 cases.乳腺叶状肿瘤的外科治疗:172例回顾性分析
J Surg Oncol. 2005 Sep 1;91(3):185-94. doi: 10.1002/jso.20334.
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Phyllodes tumor of the breast: stromal overgrowth and histological classification are useful prognosis-predictive factors for local recurrence in patients with a positive surgical margin.乳腺叶状肿瘤:间质过度生长和组织学分类是手术切缘阳性患者局部复发的有用预后预测因素。
Jpn J Clin Oncol. 2007 Oct;37(10):730-6. doi: 10.1093/jjco/hym099. Epub 2007 Oct 11.
7
Treatment options and recurrence potential for cystosarcoma phyllodes.叶状囊肉瘤的治疗选择与复发可能性
Surg Gynecol Obstet. 1990 Mar;170(3):193-6.
8
Recurrent phyllodes tumours of the breast: pathological features and clinical implications.复发性乳腺叶状肿瘤:病理特征及临床意义
ANZ J Surg. 2006 Jun;76(6):476-80. doi: 10.1111/j.1445-2197.2006.03754.x.
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[Analysis of the treatment and prognosis of recurrent breast phyllodes tumor].[复发性乳腺叶状肿瘤的治疗与预后分析]
Zhonghua Zhong Liu Za Zhi. 2009 Jan;31(1):72-4.
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[Phyllodes tumor of the breast (cystosarcoma phyllodes) (apropos 3 cases)].[乳腺叶状肿瘤(叶状囊肉瘤)(附3例报告)]
Chir Ital. 1990 Feb-Apr;42(1-2):59-68.

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