Cosmacini P, Zurrida S, Veronesi P, Bartoli C, Coopmans de Yoldi G F
Division of Diagnostic Radiology B, Istituto Nazionale Tumori, Milano, Italy.
Eur J Radiol. 1992 Jul-Aug;15(1):11-4. doi: 10.1016/0720-048x(92)90194-e.
The clinically variable course of phyllode tumor with its complex histological picture--ranging from benign to malignant--poses problems for the preoperative diagnosis and, in particular, the therapeutic approach. Mammograms of 99 patients with this disease, observed and treated from 1975 to 1989, were reviewed to determine mammographic/histologic correlations useful for early diagnosis. Opacity, size, shape, margin characteristics, the presence of calcifications and radiolucent halo were determined from the mammograms. The most useful characteristics were opacity and the character of the tumor's margins. However, mammographic features alone could not distinguish phyllode tumor from fibroadenoma.
叶状肿瘤临床病程多变，组织学表现复杂，从良性到恶性不等，这给术前诊断尤其是治疗方法带来了难题。回顾了1975年至1989年间观察和治疗的99例该疾病患者的乳房X线照片，以确定有助于早期诊断的乳房X线照片/组织学相关性。从乳房X线照片中确定不透明度、大小、形状、边缘特征、钙化的存在以及透亮晕。最有用的特征是不透明度和肿瘤边缘的特征。然而，仅凭乳房X线照片特征无法将叶状肿瘤与纤维腺瘤区分开来。
