Saint George Hospital University Medical Center, University Of Balamand, Beirut, Lebanon.
Breast J. 2020 Feb;26(2):240-244. doi: 10.1111/tbj.13523. Epub 2019 Sep 3.
Malignant phyllodes tumors (MPT) have always been a great deal of controversy among fibroepithelial tumors of the breast. Genetics, histopathology, and tumor behavior on the cellular scale shape their extent of aggressiveness. Diagnosis is based on radiological and pathological findings. Cure is surgical excision. This article reveals the most common clinical indices, which should raise the surgeon's concerns on a benign-looking tumor to further investigate its nature, and the importance of an adequate surgical intervention, preferably done by an oncoplastic breast surgeon, in order to accomplish the ideal outcome for the patient.
恶性叶状肿瘤 (MPT) 一直是乳腺纤维上皮肿瘤中极具争议的话题。遗传学、组织病理学和细胞水平上的肿瘤行为决定了其侵袭性程度。诊断基于影像学和病理学发现。治疗方法是手术切除。本文揭示了最常见的临床指标，这些指标应引起外科医生对看似良性肿瘤的关注，以进一步调查其性质，以及充分的手术干预的重要性，最好由肿瘤整形外科医生进行，以实现患者的理想治疗效果。
