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乳腺纤维腺瘤性肿瘤合并癌患者的管理

The management of patients with carcinomas in fibroadenomatous tumors of the breast.

作者信息

Ozzello L, Gump F E

出版信息

Surg Gynecol Obstet. 1985 Feb;160(2):99-104.

PMID:2982218
Abstract

This study focuses upon 38 patients found to have unsuspected carcinomas or lobular neoplasia in fibroadenomatous tumors. Combining the pathologic and clinical features of these patients with those of 56 comparable instances reported upon in the literature, it becomes apparent that the biologic and clinical behavior of lobular neoplasia, intraductal carcinomas and invasive carcinomas is essentially the same regardless of whether the lesions arise in or outside a fibroadenoma. In addition, they are often a part of a multifocal malignant condition in the ipsilateral or contralateral breast. These patients, therefore, should be treated as if the carcinomas or lobular neoplasia arose in the usual setting.

摘要

本研究聚焦于38例在纤维腺瘤性肿瘤中发现有意外癌或小叶瘤变的患者。将这些患者的病理和临床特征与文献报道的56例类似病例相结合后发现,无论病变是发生在纤维腺瘤内还是纤维腺瘤外,小叶瘤变、导管内癌和浸润性癌的生物学行为和临床行为基本相同。此外,它们常是同侧或对侧乳房多灶性恶性病变的一部分。因此,这些患者应按照癌或小叶瘤变发生在通常情况下进行治疗。

相似文献

1
The management of patients with carcinomas in fibroadenomatous tumors of the breast.乳腺纤维腺瘤性肿瘤合并癌患者的管理
Surg Gynecol Obstet. 1985 Feb;160(2):99-104.
2
The coexistence of lobular carcinoma in a fibroadenoma with a malignant phyllodes tumor in the opposite breast: report of a case.纤维腺瘤内小叶癌与对侧乳腺恶性叶状肿瘤并存:病例报告
Surg Today. 1993;23(7):656-60. doi: 10.1007/BF00311918.
3
[Coexistence of breast cystosarcoma phyllodes and bilateral in situ lobular carcinoma].[乳腺叶状囊肉瘤与双侧原位小叶癌并存]
Rev Clin Esp. 1999 Nov;199(11):776.
4
Clinical relevance of the distribution of the lesions in 500 consecutive breast cancer cases documented in large-format histologic sections.500例连续性乳腺癌病例在大幅组织学切片中病变分布的临床相关性。
Cancer. 2007 Dec 1;110(11):2551-60. doi: 10.1002/cncr.23052.
5
Multicentric and bilateral appearance of lobular carcinoma in situ of the breast.
Acta Pathol Microbiol Scand A. 1974 Nov;82(6):730-4.
6
Multiple, giant fibroadenoma.
Am Surg. 1991 Jul;57(7):438-41.
7
[Carcinoma and fibroadenoma of the breast].[乳腺癌和纤维腺瘤]
Medicina (B Aires). 1989;49(6):583-8.
8
[Lobular neoplasm arising in a fibroadenoma. Clinical case report].
Minerva Chir. 1988 Jun 30;43(12):1099-101.
9
[Sarcomas originating in breast fibroadenomas (cystosarcoma phyllodes, malignant form). Considerations on 28 cases].[起源于乳腺纤维腺瘤的肉瘤(叶状囊肉瘤,恶性型)。28例病例分析]
AMB Rev Assoc Med Bras. 1979 Mar;25(3):108-10.
10
[Lobular neoplasia of the breast (author's transl)].乳腺小叶瘤变(作者译)
Ann Osp Maria Vittoria Torino. 1980 Jul-Dec;23(7-12):435-46.

引用本文的文献

1
Coexistence of benign phyllodes tumor and invasive ductal cancer in the ipsilateral breast: A case report.同侧乳腺良性叶状肿瘤与浸润性导管癌并存:一例报告。
Int J Surg Case Rep. 2024 Sep;122:110162. doi: 10.1016/j.ijscr.2024.110162. Epub 2024 Aug 13.
2
Invasive Ductal Carcinoma within a Benign Phyllodes Tumor.良性叶状肿瘤内的浸润性导管癌。
Am J Case Rep. 2017 Jul 20;18:813-816. doi: 10.12659/ajcr.903774.
3
Invasive Ductal Carcinoma Developing From Fibroadenoma.源于纤维腺瘤的浸润性导管癌
J Breast Health. 2015 Oct 1;11(4):195-198. doi: 10.5152/tjbh.2015.2417. eCollection 2015 Oct.
4
In Situ Ductal Carcinoma Arising in Benign Phyllodes Tumor in 19-Year Old Patient: A Case Report.19岁患者良性叶状肿瘤中发生的原位导管癌:一例报告
J Breast Health. 2014 Oct 1;10(4):239-241. doi: 10.5152/tjbh.2013.1758. eCollection 2014 Oct.
5
Breast fibroadenomas in adolescents: current perspectives.青少年乳腺纤维腺瘤:当前观点
Adolesc Health Med Ther. 2015 Sep 2;6:159-63. doi: 10.2147/AHMT.S55833. eCollection 2015.
6
Complex fibroadenoma and breast cancer risk: a Mayo Clinic Benign Breast Disease Cohort Study.复杂纤维腺瘤与乳腺癌风险:梅奥诊所良性乳腺疾病队列研究
Breast Cancer Res Treat. 2015 Sep;153(2):397-405. doi: 10.1007/s10549-015-3535-8. Epub 2015 Aug 12.
7
High-intensity focused ultrasound for the treatment of fibroadenomata (HIFU-F) study.高强度聚焦超声治疗纤维腺瘤(HIFU-F)研究
J Ther Ultrasound. 2015 Apr 14;3:6. doi: 10.1186/s40349-015-0027-6. eCollection 2015.
8
The growing fibroadenoma.生长中的纤维腺瘤。
Acta Radiol Open. 2015 Apr 1;4(4):2047981615572273. doi: 10.1177/2047981615572273. eCollection 2015 Apr.
9
Ductal Carcinoma In Situ Detected by Shear Wave Elastography within a Fibroadenoma.乳腺纤维腺瘤内剪切波弹性成像检测到的导管原位癌。
J Breast Cancer. 2014 Jun;17(2):180-3. doi: 10.4048/jbc.2014.17.2.180. Epub 2014 Jun 27.
10
Giant juvenile fibroadenoma of the breast: a case report and brief literature review.乳腺巨大幼年型纤维腺瘤:一例报告及文献简要综述
Ann Pediatr Endocrinol Metab. 2014 Mar;19(1):45-8. doi: 10.6065/apem.2014.19.1.45. Epub 2014 Mar 31.