Kim Ga Ram, Kim Eun-Kyung, Yoon Jung Hyun, Kim Min Jung, Moon Hee Jung
Department of Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Republic of Korea.
Ultrasound Q. 2016 Jun;32(2):151-6. doi: 10.1097/RUQ.0000000000000178.
The recurrence rates of benign phyllodes tumors diagnosed through surgery and ultrasound-guided vacuum-assisted excision (US-VAE) were evaluated. A total of 146 benign phyllodes tumors diagnosed by surgery (n = 126) or US-VAE (n = 20) in 144 patients who had further follow-up after surgery or US-VAE were included (median follow-up period, 32.3 months; range, 6.7-142.5 months). Comparisons of recurrence rate, interval to recurrence, patient age, initial tumor size, Breast Imaging Reporting and Data System category, or follow-up interval were performed between the surgery and VAE groups and between groups with and without recurrence. Three cases (2.1%, 3/146) had recurrence and all were in the surgery group (2.4%, 3/126). The surgery group demonstrated larger size than the VAE group (median, 25 vs 16 mm; P < 0.001). The median age of women in the surgery group was older than those in the VAE group (39 vs 33 years, P = 0.509). The median age of women with recurrence (n = 3) was older than those without recurrence (n = 143, 49 vs 38 years, P = 0.023). In conclusion, when benign phyllodes tumor is unexpectedly diagnosed at US-VAE, if there is no residual lesion at US, clinical follow-up rather than further surgery might be recommended.
评估了通过手术及超声引导下真空辅助切除术（US-VAE）诊断的良性叶状肿瘤的复发率。纳入了144例在手术或US-VAE后进行进一步随访的患者，这些患者中共有146个良性叶状肿瘤通过手术（n = 126）或US-VAE（n = 20）诊断（中位随访期为32.3个月；范围为6.7 - 142.5个月）。对手术组和VAE组之间以及有复发和无复发组之间的复发率、复发间隔、患者年龄、初始肿瘤大小、乳腺影像报告和数据系统分类或随访间隔进行了比较。3例（2.1%，3/146）出现复发，均在手术组（2.4%，3/126）。手术组的肿瘤大小大于VAE组（中位值，25对16 mm；P < 0.001）。手术组女性的中位年龄大于VAE组（39对33岁，P = 0.509）。复发患者（n = 3）的中位年龄大于未复发患者（n = 143，49对38岁，P = 0.023）。总之，当在US-VAE时意外诊断出良性叶状肿瘤，如果超声检查没有残留病变，可能建议进行临床随访而非进一步手术。
