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乳腺叶状肿瘤的诊断挑战:孕期快速生长的肿瘤导致乳房缺失。病例报告。

Diagnostic challenges of benign breast phyllodes tumour: A rapid-growing tumour during pregnancy caused breast loss. A case report.

作者信息

Pankratjevaite Lina, Samulionis Amuras, Miliou Theodora

机构信息

Department of Plastic and Breast Surgery, Aalborg University Hospital, Aalborg, Denmark.

Department of Pathology, Aalborg University Hospital, Aalborg, Denmark.

出版信息

Int J Surg Case Rep. 2021 May;82:105866. doi: 10.1016/j.ijscr.2021.105866. Epub 2021 Apr 8.

Abstract

INTRODUCTION

Phyllodes tumours are rare breast neoplasms. It is especially rare in pregnancy.

PRESENTATION OF CASE

We report a case of a 37-year-old woman with left breast benign phyllodes tumour, which started to grow very fast during pregnancy. The tumour was too big for breast-conserving surgery and it was necessary to remove the whole left breast. Patient underwent successful nipple-skin-sparing mastectomy with immediate silicone implant reconstruction.

CONCLUSION

Breast phyllodes are classified as benign, borderline, and malignant. Standard treatment of breast phyllodes is surgery. The choice of surgery type depends on the tumour factors and breast size. We highlight that, inadequate treatment of phyllodes tumour can result to recurrence, growth, or even metastatic spread, when tumour has malignant potential.

摘要

引言

叶状肿瘤是罕见的乳腺肿瘤。在孕期尤其罕见。

病例介绍

我们报告一例37岁女性,患有左乳良性叶状肿瘤,该肿瘤在孕期生长迅速。肿瘤太大无法进行保乳手术,因此有必要切除整个左乳。患者接受了成功的保留乳头乳晕的乳房切除术并即刻进行硅胶植入重建。

结论

乳腺叶状肿瘤分为良性、交界性和恶性。乳腺叶状肿瘤的标准治疗方法是手术。手术类型的选择取决于肿瘤因素和乳房大小。我们强调,当肿瘤具有恶性潜能时,叶状肿瘤治疗不当可导致复发、生长,甚至转移扩散。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90de/8076702/78cea4ab3710/gr1.jpg

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