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叶状囊肉瘤内发生的横纹肌肉瘤。病例报告及文献复习。

Rhabdomyosarcoma arising within a cystosarcoma phyllodes. Case report and review of the literature.

作者信息

Barnes L, Pietruszka M

出版信息

Am J Surg Pathol. 1978 Dec;2(4):423-9. doi: 10.1097/00000478-197812000-00009.

DOI:10.1097/00000478-197812000-00009
PMID:216277
Abstract

Rhabdomyosarcoma of the breast is a rare tumor that is characterized by its rapid growth, large size, and poor prognosis. It most often presents as a pure neoplasm and infrequently as the stromal component of a cystosarcoma phyllodes. The clinical and pathological features of a cystosarcoma with a rhabdomyosarcomatous stroma occurring in a 45-year-old woman are presented, and the results are discussed in reference to the 24 published cases of mammary rhabdomyosarcoma. The patient was treated by radical mastectomy and died 2.5 years later with pulmonary and cerebral metastases. Though two long-term survivors have been reported, cures are infrequent and no form of therapy has been uniformly successful.

摘要

乳腺横纹肌肉瘤是一种罕见的肿瘤,其特点是生长迅速、体积大且预后差。它最常表现为单纯肿瘤,很少作为叶状囊肉瘤的间质成分出现。本文报道了一名45岁女性发生的具有横纹肌肉瘤间质的叶状囊肉瘤的临床和病理特征,并结合已发表的24例乳腺横纹肌肉瘤病例进行了讨论。该患者接受了根治性乳房切除术,2.5年后死于肺和脑转移。尽管已有两例长期存活的报道,但治愈情况罕见,且尚无一种治疗方法能始终取得成功。

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