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交界性叶状肿瘤向纤维肉瘤恶变的乳房:一例罕见病例报告。

A malignant transformation of borderline phyllodes tumor to fibrosarcoma breast: A rare case report.

机构信息

Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Cancer Res Ther. 2023 Jan 1;19(Suppl 2):S892-S895. doi: 10.4103/jcrt.jcrt_378_21. Epub 2023 Apr 27.

Abstract

Phyllodes tumor of the breast with malignant transformation to fibrosarcoma of the breast is a rare entity. Breast fibrosarcoma is uncommon, accounting for less than 1% of all breast tumors. Prognosis of fibrosarcoma of the breast is poor. Due to its rarity, survival rates are not defined. A 23-year-old woman presented with a mass in the left breast, and another 48-year-old woman presented with right breast mass. Both patients underwent for surgery. The histological & immunohistochemical examination confirms the diagnosis of a malignant transformation from borderline phyllodes tumor to fibrosarcoma. We concluded that the phyllodes tumor is mostly benign but local recurrence is common. As the tumor progresses toward malignancy, due to the difficulty in the diagnosis of borderline phyllodes tumors, total mastectomy with axillary resection must be recommended.

摘要

乳腺叶状肿瘤发生恶性转化为乳腺纤维肉瘤较为罕见。乳腺纤维肉瘤并不常见,占所有乳腺肿瘤的比例不足 1%。乳腺纤维肉瘤的预后较差。由于其罕见性,目前尚无法定义生存率。一名 23 岁女性因左乳肿块就诊,另一名 48 岁女性因右乳肿块就诊。两名患者均接受了手术治疗。组织学和免疫组织化学检查证实了交界性叶状肿瘤恶变为纤维肉瘤的诊断。我们得出结论,叶状肿瘤大多为良性,但局部复发较为常见。随着肿瘤向恶性进展,由于交界性叶状肿瘤的诊断困难,必须建议行全乳切除术和腋窝清扫术。

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