Andersson A, Bergdahl L
Arch Surg. 1978 Jun;113(6):742-4. doi: 10.1001/archsurg.1978.01370180084013.
A total of eight cases of cystosarcoma phyllodes in women under 25 years of age were reported to the Swedish Cancer Registry during a ten-year period (1960 to 1969). Only one of these tumors was malignant. It was successfully treated with simple mastectomy and postoperative radiation therapy. Of the remaining seven cases, six were treated with local excision of the lesion and one with simple mastectomy. In no case, did the tumor recur during a follow-up of an average of ten years. Local excision seems to be sufficient for the benign form of the tumor, whereas simple mastectomy is indicated for the malignant form. Radical mastectomy is indicated only of the tumor has invaded the pectoral fascia. The tumor rarely metastasizes to the axillary lymph nodes.
在十年期间(1960年至1969年),共有8例25岁以下女性的叶状囊肉瘤报告给了瑞典癌症登记处。这些肿瘤中只有1例是恶性的。通过单纯乳房切除术和术后放射治疗成功治愈。其余7例中,6例行病变局部切除术,1例行单纯乳房切除术。在平均十年的随访中,无一例肿瘤复发。对于肿瘤的良性形式,局部切除似乎就足够了,而对于恶性形式则需行单纯乳房切除术。仅当肿瘤侵犯胸肌筋膜时才需行根治性乳房切除术。该肿瘤很少转移至腋窝淋巴结。