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一名11岁患有巨大恶性叶状肿瘤女孩的即刻乳房重建术

Immediate Breast Reconstruction in an 11-year-old Girl with a Large Malignant Phyllodes Tumor.

作者信息

Serhan Karolina A, Kemp Tamara L

机构信息

Department of Plastic & Reconstructive Surgery, Naval Medical Center Portsmouth, Va.

出版信息

Plast Reconstr Surg Glob Open. 2022 Mar 25;10(3):e4188. doi: 10.1097/GOX.0000000000004188. eCollection 2022 Mar.

DOI:10.1097/GOX.0000000000004188
PMID:35350146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8955082/
Abstract

Phyllodes tumors are rare fibroepithelial breast tumors representing less than 1% of all breast malignancies, with an extremely uncommon presence in the pediatric population. Although prognosis is favorable following excision given their indolent course, they often grow rapidly and frequently recur. As such, they can present unique oncologic and reconstructive challenges. Herein we present a case of a malignant phyllodes tumor in an 11-year-old girl treated with total skin-sparing mastectomy and adjustable saline implant, and explore the reconstructive challenges of this unique case.

摘要

叶状肿瘤是一种罕见的乳腺纤维上皮性肿瘤,占所有乳腺恶性肿瘤的比例不到1%,在儿科人群中极为罕见。尽管因其生长缓慢,切除后预后良好,但它们通常生长迅速且频繁复发。因此,它们可能带来独特的肿瘤学和重建方面的挑战。在此,我们报告一例11岁女孩的恶性叶状肿瘤,采用保留皮肤的全乳切除术和可调节盐水植入物进行治疗,并探讨这一独特病例的重建挑战。

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Bilateral Phyllodes in a 12-Year-Old Adolescent: Report of a Rare Case.一名12岁青少年的双侧叶状肿瘤:罕见病例报告。
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本文引用的文献

1
Recurrent giant phyllodes tumour in a 17-year-old female: a rare case report.一名17岁女性复发性巨大叶状肿瘤:罕见病例报告。
Oxf Med Case Reports. 2020 Oct 23;2020(10):omaa089. doi: 10.1093/omcr/omaa089. eCollection 2020 Oct.
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Prognostic factors in phyllodes tumours of the breast: retrospective study on 166 consecutive cases.乳腺叶状肿瘤的预后因素:166 例连续病例的回顾性研究。
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Nipple sparing mastectomy with immediate silicone implant reconstruction for malignant phyllodes tumor in a 19-year-old girl.19岁女孩恶性叶状肿瘤行保留乳头的乳房切除术并即刻硅胶假体植入重建术
Eur Rev Med Pharmacol Sci. 2015 Dec;19(23):4498-500.
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Giant breast tumors: surgical management of phyllodes tumors, potential for reconstructive surgery and a review of literature.巨大乳腺肿瘤:叶状肿瘤的外科治疗、重建手术的可能性及文献综述
World J Surg Oncol. 2008 Nov 11;6:117. doi: 10.1186/1477-7819-6-117.
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Cystosarcoma phyllodes of the mammary gland--Müller's tumor. For the 180th birthday of Johannes Müller.乳腺叶状囊肉瘤——米勒氏肿瘤。纪念约翰内斯·米勒诞辰180周年。
Virchows Arch A Pathol Anat Histol. 1981;392(1):1-6. doi: 10.1007/BF00430543.