Lee Shimwoo, Mercado Cecilia L, Cangiarella Joan F, Chhor Chloe M
NYU School of Medicine, NYU Langone Medical Center, 550 First Ave., New York, NY 10016, USA.
Department of Radiology, NYU School of Medicine, NYU Langone Medical Center, 550 First Ave., New York, NY 10016, USA.
Clin Imaging. 2018 Jul-Aug;50:31-36. doi: 10.1016/j.clinimag.2017.12.008. Epub 2017 Dec 16.
Our aim was to investigate the outcomes of fibroadenomas recommended for surgical excision due to large size (>2cm) or interval growth. A retrospective review of our institutional radiology database from 2007 to 2015 was performed. We identified 167 biopsy-proven fibroadenomas recommended for surgical consultation. Of these, 75 (45%) cases actually underwent excision, 7 (9%, 95% CI: 4-18%) of which were upgraded to phyllodes tumors upon histopathological examination. Our results support the current recommendation to surgically excise breast lesions diagnosed as fibroadenomas with size >2cm or with interval growth due to the considerable risk of finding phyllodes tumors.
我们的目的是研究因体积较大（>2cm）或有间隔期生长而建议手术切除的纤维腺瘤的转归情况。对我们机构2007年至2015年的放射学数据库进行了回顾性分析。我们确定了167例经活检证实并建议进行手术会诊的纤维腺瘤。其中，75例（45%）实际接受了切除，其中7例（9%，95%CI：4-18%）在组织病理学检查时升级为叶状肿瘤。我们的结果支持目前的建议，即对诊断为纤维腺瘤且体积>2cm或有间隔期生长的乳腺病变进行手术切除，因为发现叶状肿瘤的风险相当大。
