Genoni E, Bonzi F, Boccazzi G, Maffioletti G, Re Ferrè M, Bernieri A, Ciprandi G
U.O. Chirurgia Generale I, USSL 70, Ospedale di Legnano.
Chir Ital. 1990 Feb-Apr;42(1-2):59-68.
There have been described three cases of the breast phyllodes tumour, i.e., fibroepithelial tumour, histologically both benign and on borderline, or expressively malignant (sarcoma). The mean age of patients concerned is of about 50 years old at the time of neoplasm diagnosis. If the surgical removal is incomplete, therein a large number of recurrences occurs. Diagnostic procedures are based on clinical examination (it is remarked the abnormal wideness of the tumour) as well as mammography, echography, needle biopsy. Surgical treatment is always based on large tumorectomy which results are sufficient in benign tumours. In malignant phylloides a total mastectomy is required without axillary lymphadenectomy owing to the hematic dissemination. Usually, after surgical treatment, survival rate seems better as compared to that of breast cancer.
已描述了三例乳腺叶状肿瘤，即纤维上皮肿瘤，组织学上有良性、交界性或明显恶性（肉瘤）。相关患者确诊肿瘤时的平均年龄约为50岁。如果手术切除不完全，会出现大量复发。诊断程序基于临床检查（注意到肿瘤异常增大）以及乳房X线摄影、超声检查、针吸活检。手术治疗始终基于广泛肿瘤切除术，该方法对良性肿瘤效果良好。对于恶性叶状肿瘤，由于血行播散，需要进行全乳切除术且不进行腋窝淋巴结清扫。通常，手术治疗后，与乳腺癌相比，生存率似乎更好。
