粗针活检诊断为细胞性纤维腺瘤：给放射科医生的管理建议
Cellular fibroadenoma on Core needle biopsy: management recommendations for the radiologist.
作者信息
Edwards Teresa, Jaffer Shabnam, Szabo Janet R, Sonnenblick Emily B, Margolies Laurie R
机构信息
Department of Radiology, Icahn School of Medicine at Mount Sinai.
Department of Pathology, Icahn School of Medicine at Mount Sinai.
出版信息
Clin Imaging. 2016 Jul-Aug;40(4):587-90. doi: 10.1016/j.clinimag.2016.02.009. Epub 2016 Feb 15.
INTRODUCTION
Cellular fibroadenomas (CFA) are difficult to distinguish from phyllodes tumor (PT) at biopsy. This study's purpose was to determine what CFA characteristics were associated with recommendations to follow-up or excise and if the current algorithm was correct.
MATERIALS AND METHODS
Databases from 2002 to 2014 were reviewed. Mass characteristics and post biopsy recommendations were recorded.
RESULTS
81 CFAs were diagnosed; 19 cellular and 62 with slightly cellular stroma. 21 masses were surgically excised with 2 PTs diagnosed.
CONCLUSION
Larger mass size and increased histologic cellularity were associated with excision recommendation, but only clinical growth was associated with PT.
引言
在活检时，细胞性纤维腺瘤（CFA）很难与叶状肿瘤（PT）区分开来。本研究的目的是确定CFA的哪些特征与随访或切除建议相关，以及当前的算法是否正确。
材料与方法
回顾了2002年至2014年的数据库。记录了肿块特征和活检后的建议。
结果
诊断出81例CFA；19例为细胞性，62例为细胞轻度增多的间质。21个肿块接受了手术切除，其中诊断出2例PT。
结论
更大的肿块尺寸和组织学细胞增多与切除建议相关，但只有临床生长与PT相关。
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