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具有诊断和管理挑战的不寻常乳腺肿瘤

Unusual Breast Neoplasm with Diagnostic and Management Challenges.

作者信息

Rana Chanchal, Ramakant Pooja, Babu Suresh, Singh Kulranjan, Mishra Anand, Mouli Sasi

机构信息

1Department of Pathology, King George's Medical University, Lucknow, UP India.

2Department of Endocrine Surgery, King George's Medical University, Lucknow, UP India.

出版信息

Indian J Surg Oncol. 2018 Sep;9(3):328-335. doi: 10.1007/s13193-018-0781-3. Epub 2018 May 24.

Abstract

With the growing awareness and availability of proper screening methods, detection of breast lump is increasing globally and is now a very sensitive issue for females. The treatment of these lumps ranges from lumpectomy to wide local excision to mastectomy; hence, a proper diagnosis is very important to prevent under- or overtreatment in patients. Breast lesions are the heterogeneous diseases encompassing several distinct entities with remarkably different characteristics. While the more common forms of breast cancers are well recognized and understood better, there are many important unusual lesions and malignancies that are less known and less appreciated and can be challenging to diagnose. In such cases, due to rarity of the disease and lack of adequate treatment protocol, managing the patients can be a challenging task for surgeons and oncologist as well. In this article, we have shared our institutional experience in unusual breast lesions with emphasis on diagnostic as well as management challenges faced.

摘要

随着人们对适当筛查方法的认识不断提高以及此类方法的可及性增加,全球范围内乳腺肿块的检出率正在上升,如今这已成为女性非常敏感的问题。这些肿块的治疗方法包括肿块切除术、广泛局部切除术至乳房切除术;因此,正确的诊断对于防止患者治疗不足或过度治疗非常重要。乳腺病变是异质性疾病,包含几个具有明显不同特征的不同实体。虽然更常见的乳腺癌形式已广为人知且了解得更好,但仍有许多重要的不常见病变和恶性肿瘤鲜为人知且未得到充分认识,诊断起来可能具有挑战性。在这种情况下,由于疾病罕见且缺乏适当的治疗方案,对外科医生和肿瘤学家而言,管理此类患者也是一项具有挑战性的任务。在本文中,我们分享了我们机构在不常见乳腺病变方面的经验,重点是所面临的诊断和管理挑战。

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