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乳腺叶状肿瘤与浸润性导管癌并存。

Coexistence of phylloides tumour and invasive ductal cancer in the breast.

作者信息

Bozkurt H, Karakaya I B, Aktas E, Irkorucu O

机构信息

Department of Gastroenterological Surgery, Kartal Koşuyolu High Speciality and Training Hospital, Istanbul, Turkey.

Department of General Surgery, Adana City Hospital Adana City Hospital Training and Research Hospital, Adana, Turkey.

出版信息

Niger J Clin Pract. 2019 Aug;22(8):1169-1171. doi: 10.4103/njcp.njcp_602_18.

DOI:10.4103/njcp.njcp_602_18
PMID:31417064
Abstract

Phylloides tumor in the breast is a rare fibroepithelial tumor, which is often seen in young adult women. Phylloides tumor of the breast accounts for about 1% of all breast tumors and approximately 3% of all fibroepithelial tumors. Pre-operative diagnosis is difficult. Since there aren't any specific mammography and ultrasound findings, they cannot be distinguished from fibroadenomas through these imaging methods and are mostly followed up as if they are fibroadenomas. Patients often present with the complaint of a mass that has been present for a long time and had started to grow suddenly. The primary preferred approach for treatment is wide local excision with negative surgical margins. Coexistence of invasive ductal carcinoma with phylloides tumor in the same breast is a very rare occurrence. We present in this article, a 42-year-old female patient with an invasive ductal carcinoma inside a phylloides tumor in the same breast.

摘要

乳腺叶状肿瘤是一种罕见的纤维上皮性肿瘤,多见于年轻成年女性。乳腺叶状肿瘤约占所有乳腺肿瘤的1%,约占所有纤维上皮性肿瘤的3%。术前诊断困难。由于没有任何特异性的乳腺X线摄影和超声表现,通过这些影像学方法无法将其与纤维腺瘤区分开来,大多按纤维腺瘤进行随访。患者常主诉有一肿块已存在很长时间且突然开始生长。主要的首选治疗方法是手术切缘阴性的广泛局部切除。同一乳腺中浸润性导管癌与叶状肿瘤并存的情况非常罕见。我们在本文中介绍了一位42岁女性患者,其同一乳腺的叶状肿瘤内存在浸润性导管癌。

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Coexistence of phylloides tumour and invasive ductal cancer in the breast.乳腺叶状肿瘤与浸润性导管癌并存。
Niger J Clin Pract. 2019 Aug;22(8):1169-1171. doi: 10.4103/njcp.njcp_602_18.
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Surgical treatment and MRI in phyllodes tumors of the breast: our experience and review of the literature.乳腺叶状肿瘤的手术治疗与磁共振成像:我们的经验及文献综述
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[Benign phylloides tumor of the breast. Considerations on a clinical case].[乳腺良性叶状肿瘤。关于一例临床病例的思考]
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Malignant phylloides tumor in pregnancy.妊娠期恶性叶状肿瘤
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Phylloides tumor: findings on mammography, sonography, and aspiration cytology in 10 cases.叶状肿瘤:10例乳腺钼靶、超声及细针穿刺细胞学检查结果
AJR Am J Roentgenol. 1991 Oct;157(4):715-9. doi: 10.2214/ajr.157.4.1654022.
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Coexisting invasive ductal carcinoma arising within a benign phyllodes tumour.良性叶状肿瘤内并发的浸润性导管癌。
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Collision tumor with inflammatory breast carcinoma and malignant phyllodes tumor: a case report and literature review.伴有炎性乳腺癌和恶性叶状肿瘤的碰撞瘤:一例报告及文献复习
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Diagnosis, characteristics, and treatment of breast carcinomas within benign fibroepithelial tumors.乳腺良性质纤维上皮肿瘤内的癌的诊断、特征和治疗。
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引用本文的文献

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Phyllodes tumors of the breast: A comprehensive review of diagnosis, treatment, and follow-up.乳腺叶状肿瘤:诊断、治疗及随访的全面综述
Clinics (Sao Paulo). 2025 Mar 14;80:100617. doi: 10.1016/j.clinsp.2025.100617. eCollection 2025.
2
An elderly woman with multilobulated breast mass presenting as a diagnostic dilemma: A rare case report.一名患有多叶状乳腺肿块的老年女性,诊断陷入困境:一例罕见病例报告。
J Family Med Prim Care. 2021 Oct;10(10):3916-3918. doi: 10.4103/jfmpc.jfmpc_176_21. Epub 2021 Nov 5.
3
Differential diagnosis between small breast phyllodes tumors and fibroadenomas using artificial intelligence and ultrasound data.
利用人工智能和超声数据对小乳腺叶状肿瘤和纤维腺瘤进行鉴别诊断。
Quant Imaging Med Surg. 2021 May;11(5):2052-2061. doi: 10.21037/qims-20-919.
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Evaluation of the Role of hsa-mir-124 in Predicting Clinical Outcome in Breast Invasive Carcinoma Based on Bioinformatics Analysis.基于生物信息学分析评估 hsa-mir-124 在预测乳腺浸润性癌临床结局中的作用。
Biomed Res Int. 2020 Mar 3;2020:1839205. doi: 10.1155/2020/1839205. eCollection 2020.