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Fibroepithelial lesions with cellular stroma on breast core needle biopsy: are there predictors of outcome on surgical excision?乳腺粗针活检时伴有细胞性间质的纤维上皮性病变：手术切除后有预后预测指标吗？
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Identification of differentiating sonographic features between fibroadenomas and malignant tumors of the breast mimicking fibroadenomas: 10-year experience in 421 histologically verified cases.鉴别纤维腺瘤与酷似纤维腺瘤的乳腺恶性肿瘤之间的超声鉴别特征：421例经组织学证实病例的10年经验
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Audit of eliminating biopsy for presumed fibroadenomas with benign ultrasound greyscale and shear-wave elastography findings in women aged 25-39 years.对 25-39 岁女性中超声灰阶及剪切波弹性成像良性结果的疑似纤维腺瘤进行活检消除的审核。
Clin Radiol. 2020 Nov;75(11):880.e1-880.e3. doi: 10.1016/j.crad.2020.08.002. Epub 2020 Aug 26.
2
Histopathologic, immunophenotypic, and proteomics characteristics of low-grade phyllodes tumor and fibroadenoma: more similarities than differences.低度恶性叶状肿瘤和纤维腺瘤的组织病理学、免疫表型及蛋白质组学特征：相似之处多于差异。
NPJ Breast Cancer. 2020 Jun 26;6:27. doi: 10.1038/s41523-020-0169-8. eCollection 2020.
3
Preoperative prediction of margin requirement following a core biopsy result suggestive of a phyllodes tumour.在粗针活检结果提示叶状肿瘤后，对切缘要求的术前预测。
Clin Radiol. 2020 Apr;75(4):319.e21-319.e27. doi: 10.1016/j.crad.2019.11.006. Epub 2019 Dec 17.
4
Up-to-date Doppler techniques for breast tumor vascularity: superb microvascular imaging and contrast-enhanced ultrasound.用于乳腺肿瘤血管成像的最新多普勒技术：超微血管成像和超声造影
Ultrasonography. 2018 Apr;37(2):98-106. doi: 10.14366/usg.17043. Epub 2017 Aug 19.
5
Shear-wave elastography and greyscale assessment of palpable probably benign masses: is biopsy always required?剪切波弹性成像与可触及的可能为良性肿块的灰阶评估：活检是否总是必要的？
Br J Radiol. 2016 Jun;89(1062):20150865. doi: 10.1259/bjr.20150865. Epub 2016 Mar 23.
6
Phyllodes tumours of the breast: a consensus review.乳腺叶状肿瘤：共识性综述
Histopathology. 2016 Jan;68(1):5-21. doi: 10.1111/his.12876.
7
Phyllodes tumor: diagnostic imaging and histopathology findings.叶状肿瘤：诊断性影像学和组织病理学表现
Rom J Morphol Embryol. 2015;56(4):1397-402.
8
Sensitivity and specificity of mammography and adjunctive ultrasonography to screen for breast cancer in the Japan Strategic Anti-cancer Randomized Trial (J-START): a randomised controlled trial.钼靶 X 线摄影和附加超声检查筛查乳腺癌的敏感性和特异性：日本策略性抗癌随机试验（J-START）：一项随机对照试验。
Lancet. 2016 Jan 23;387(10016):341-348. doi: 10.1016/S0140-6736(15)00774-6. Epub 2015 Nov 5.
9
Ultrasonographic findings of triple-negative breast cancer.三阴性乳腺癌的超声检查结果。
Int J Clin Exp Med. 2015 Jun 15;8(6):10040-3. eCollection 2015.
10
Benign breast lesions in Bayelsa State, Niger Delta Nigeria: a 5 year multicentre histopathological audit.尼日利亚尼日尔三角洲巴耶尔萨州的乳腺良性病变：一项为期5年的多中心组织病理学审计
Pan Afr Med J. 2014 Dec 18;19:394. doi: 10.11604/pamj.2014.19.394.5717. eCollection 2014.

乳腺纤维上皮性病变：提高影像诊断准确性，减少不必要的活检。

Fibroepithelial lesions of the breast: improving the accuracy of imaging diagnosis and reducing unnecessary biopsy.

机构信息

Breast Unit, Royal Derby Hospital, Derby, United Kingdom.

出版信息

Br J Radiol. 2023 Feb;96(1142):20220078. doi: 10.1259/bjr.20220078. Epub 2022 Sep 8.

DOI:10.1259/bjr.20220078
PMID:35976616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9975516/
Abstract

Fibroadenomas and phyllodes tumours are fibroepithelial lesions of the breast. Fibroadenomas are common benign breast masses encountered both symptomatically and incidentally. Phyllodes tumours are uncommon and usually present symptomatically. Management of fibroadenomas focuses on reducing biopsies without missing cancers while radiological management of phyllodes tumours should focus on predicting the need for surgical excision with or without margins.

摘要

纤维腺瘤和叶状肿瘤是乳腺的纤维上皮性病变。纤维腺瘤是常见的良性乳腺肿块，既可以出现症状，也可以偶然发现。叶状肿瘤则不太常见，通常表现为症状性。纤维腺瘤的管理重点是减少活检，同时不遗漏癌症，而叶状肿瘤的放射学管理应侧重于预测是否需要手术切除以及是否需要边缘切除。