Islam S, Shah J, Harnarayan P, Naraynsingh V
San Fernando Teaching Hospital, Trinidad and Tobago.
Department of Clinical surgical Sciences, University of West Indies; St. Augustine, Trinidad and Tobago.
Int J Surg Case Rep. 2016;26:96-100. doi: 10.1016/j.ijscr.2016.07.022. Epub 2016 Jul 22.
Phyllodes tumours are rare fibro-epithelial lesions. The role of the pathologist in the preoperative diagnosis of phyllodes tumours of the breast is critical to appropriate surgical planning. Wide local excision or mastectomy with adequate margin remains the treatment of choice. Local recurrence occurs in approximately 10- 16.1% of patients (Wei et al., 2014) [1] and distant metastases occurs in 6.3-31% of patients with malignant phyllodes tumours (Wei et al. (2014), Chaney et al., 1998) [1,2] but only in 4% of all phyllodes tumours (Salvador et al., 1989) [3]. Emphasis should be given in early diagnosis and intervention to decrease morbidity and mortality.
叶状肿瘤是罕见的纤维上皮性病变。病理学家在乳腺叶状肿瘤的术前诊断中的作用对于恰当的手术规划至关重要。广泛局部切除或行切缘足够的乳房切除术仍是首选治疗方法。局部复发发生于约10%-16.1%的患者中(Wei等,2014年)[1],远处转移发生于6.3%-31%的恶性叶状肿瘤患者中(Wei等,2014年;Chaney等,1998年)[1,2],但仅占所有叶状肿瘤的4%(Salvador等,1989年)[3]。应强调早期诊断和干预以降低发病率和死亡率。