Toyoda Yasuhiro, Hojo Shigeyuki, Yoshioka Setsuko, Kojima Fumiyoshi, Matsunaga Hiroki, Fujie Yujiro, Fukunaga Hiroki, Ota Hirofumi, Endo Wakio, Maeura Yoshiichi
Division of Surgery, Saiseikai Senri Hospital.
Gan To Kagaku Ryoho. 2013 Nov;40(12):2411-3.
A 36-year-old woman with benign phyllodes tumor of the left breast had undergone lumpectomy 1 year ago and was admitted to our hospital because of a left breast mass on the operation scar. Ultrasonography showed a 35 mm low-echoic, elliptical mass with a high depth to width( D/W) ratio in the C area and a 10 mm low-echoic, polygonal mass with a high D/W ratio in the E area. Histological examination of an ultrasonography-guided vacuum-assisted biopsy specimen indicated recurrent phyllodes tumor. Since both tumors were assumed to be recurrent phyllodes tumors, quadrantectomy was performed. Finally, the mass in the C area was diagnosed as a recurrent phyllodes tumor and the mass in the E area was diagnosed as a fibroadenoma. A non-invasive ductal carcinoma was incidentally detected between the 2 tumors, and the surgical margin was negative. Radiotherapy was performed on the remnant breast tissue.
一名36岁患有左乳良性叶状肿瘤的女性1年前接受了肿块切除术，因手术瘢痕处出现左乳肿块而入住我院。超声检查显示，C区有一个35毫米的低回声椭圆形肿块，长宽比（D/W）高，E区有一个10毫米的低回声多边形肿块，D/W比高。超声引导下真空辅助活检标本的组织学检查显示为复发性叶状肿瘤。由于两个肿瘤均被认为是复发性叶状肿瘤，因此进行了象限切除术。最终，C区的肿块被诊断为复发性叶状肿瘤，E区的肿块被诊断为纤维腺瘤。在两个肿瘤之间偶然发现了一例非浸润性导管癌，手术切缘阴性。对残留的乳腺组织进行了放疗。
