Lee Solomon, Nodit Laurentia
From the Department of Pathology, University of Tennessee Medical Center and Graduate School of Medicine, Knoxville.
Arch Pathol Lab Med. 2014 Nov;138(11):1546-50. doi: 10.5858/arpa.2013-0581-RS.
Phyllodes tumors of the vulva are rare proliferations that share morphologic similarities with breast neoplasms. Their histogenetic origin is elusive and may be associated with specialized mammary-like glands of the vulva. Because of their rarity, the clinical and pathologic features, classification, and therapy are not well defined, and their biologic behavior is difficult to predict by histology alone. Immunohistochemical expression of estrogen and progesterone receptors and breast markers provide further support for a common origin. Surgical resection is the current mainstay of therapy and is definitive in most cases.
外阴叶状肿瘤是一种罕见的增殖性病变,在形态学上与乳腺肿瘤相似。其组织发生起源尚不清楚,可能与外阴的特殊乳腺样腺体有关。由于其罕见性,临床和病理特征、分类及治疗方法尚未明确界定,仅靠组织学难以预测其生物学行为。雌激素和孕激素受体以及乳腺标志物的免疫组化表达为共同起源提供了进一步支持。手术切除是目前的主要治疗方法,在大多数情况下具有决定性作用。