From the Department of General Surgery, University of Toronto, Toronto, Ont.
Can J Surg. 2019 Feb 1;62(1):E19-E21. doi: 10.1503/cjs.005718.
Phyllodes breast tumours are fairly uncommon, and they can be benign, borderline or malignant. General surgeons usually encounter them following the surgical excision of a breast lump that had the appearance of a fibroepithelial lesion. The surgeon is then faced with the question of what to do to establish an acceptable treatment margin. In this discussion, we recommend a plan for the management of Phyllodes tumours based on a review of the recent literature, confirmed by a retrospective review of the results from our centre. A negative margin is acceptable treatment following a lumpectomy for Phyllodes tumours. Only patients with a positive margin should undergo a revision.
叶状乳腺肿瘤比较少见，其性质可以是良性、交界性或恶性。普通外科医生通常在切除外观为纤维上皮病变的乳腺肿块后遇到这些肿瘤。然后，外科医生面临着确定可接受的治疗切缘的问题。在本次讨论中，我们根据对近期文献的回顾，并通过对我们中心结果的回顾性审查，推荐了叶状肿瘤的处理计划。叶状肿瘤保乳术后，切缘阴性是可以接受的治疗方法。只有切缘阳性的患者才需要进行修正。
