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乳腺巨大叶状肿瘤(囊肉瘤):一种罕见的复发性乳房肿块。

Giant phyllode tumour (cystosarcoma) of breast: a rare size recurrent breast lump.

作者信息

Gurjar Vipul, Bharaney Rajesh

出版信息

J Indian Med Assoc. 2013 Sep;111(9):618, 620.

PMID:24968528
Abstract

Phyllode tumour is a rare fibro-epithelial lesion that accounts for less than 1% of all neoplasms. It occurs in females in the 3rd and 4th decades. In 15% of patients local recurrence occurs and in 20% of patients distal metastasis is seen. Here we are presenting a case of a very rare size recurrent phyllode tumour with malignant changes which was associated with contralateral breast fibro-adenoma. Patient was investigated and operated successfully for right sided mastectomy for recurrent giant phyllode tumour and wide excision for opposite side fibro-adenoma.

摘要

叶状肿瘤是一种罕见的纤维上皮性病变,占所有肿瘤的比例不到1%。它发生于30至40岁的女性。15%的患者会出现局部复发,20%的患者会出现远处转移。在此,我们报告一例非常罕见的复发性巨大叶状肿瘤伴恶性变的病例,该病例与对侧乳腺纤维腺瘤相关。患者接受了检查,并成功进行了手术,右侧复发性巨大叶状肿瘤行乳房切除术,对侧纤维腺瘤行广泛切除术。

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1
Giant phyllode tumour (cystosarcoma) of breast: a rare size recurrent breast lump.乳腺巨大叶状肿瘤(囊肉瘤):一种罕见的复发性乳房肿块。
J Indian Med Assoc. 2013 Sep;111(9):618, 620.
2
Cystosarcoma phylloides: heterogeneity in a rare tumour type.叶状囊肉瘤:一种罕见肿瘤类型中的异质性
J R Coll Surg Edinb. 1996 Aug;41(4):244-5.
3
Bilateral cystosarcoma phyllodes of the breast: a case report of malignant form with contralateral benign form.双侧乳腺叶状囊肉瘤:1例恶性型伴对侧良性型病例报告
Ann Diagn Pathol. 2000 Dec;4(6):370-2. doi: 10.1053/adpa.2000.19375.
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Recurrent phyllodes tumours of the breast: pathological features and clinical implications.复发性乳腺叶状肿瘤:病理特征及临床意义
ANZ J Surg. 2006 Jun;76(6):476-80. doi: 10.1111/j.1445-2197.2006.03754.x.
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Cystosarcoma phyllodes of the breast: a clinicopathological study of 11 cases.乳腺叶状囊肉瘤:11例临床病理研究
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Cystosarcoma phyllodes: a review of surgical options.叶状囊肉瘤:手术治疗选择综述
Surgery. 1989 Feb;105(2 Pt 1):141-7.
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[Therapy concept in phyllodes tumors of the breast].[乳腺叶状肿瘤的治疗理念]
Zentralbl Chir. 1998;123 Suppl 5:100-1.
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[Cystosarcoma phylloides of the breast. A retrospective analysis of 12 cases].[乳腺叶状囊肉瘤。12例回顾性分析]
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[Case of malignant tumour phyllodes converting to fibrosarcoma].[恶性叶状肿瘤转变为纤维肉瘤病例]
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First case of transformation for breast fibroadenoma to high-grade malignant cystosarcoma in an in vitro fertilization patient.首例体外受精患者乳腺纤维腺瘤向高级别恶性囊肉瘤转化。
Fertil Steril. 2011 Nov;96(5):1126-7. doi: 10.1016/j.fertnstert.2011.08.011. Epub 2011 Sep 13.