R Chitra, Karthick Yuvaraj, Sundaramoorthy Kamalraj, Mohankumar Anupama
Surgery, PSG (Peelamedu Soma Naidu Govidasamy Naidu) Institute of Medical Sciences and Research, Coimbatore, IND.
General Surgery, Trichy SRM (Sri Ramasamy Memorial) Medical College Hospital and Research Centre, Trichy, IND.
Cureus. 2024 May 16;16(5):e60416. doi: 10.7759/cureus.60416. eCollection 2024 May.
Benign breast diseases are a common presentation in the breast clinic outpatient department. These diseases, including giant fibroadenoma, multiple fibroadenoma in different quadrants, and large or recurrent phyllodes tumors, pose challenges in surgical management. We present a case series of 16 patients aged 19 to 63 years (average age, 41.5 years) who presented with breast lumps and underwent surgery using the round block technique for benign breast diseases at our institute between November 2019 and March 2024. Prior to surgery, all patients had clinical, radiological, and pathological assessments. Age, duration of lump, and detailed menstrual, obstetric, and family history of each patient were recorded. Eight (50%) of the patients had phyllodes tumor, four (31.25%) had fibroadenoma, three (18.75%) had both fibroadenoma and phyllodes tumor, and one (6.25%) had adenolipoma. The average size of tumors was 7.5 cm in our study. During postsurgical follow-up, none of the patients had nipple areola necrosis, and they reported that nipple sensation was acceptable. A mastectomy was avoided in all circumstances. Good cosmetic outcomes and clear margin status are achievable using the round block technique.
良性乳腺疾病是乳腺门诊常见的病症。这些疾病，包括巨大纤维腺瘤、不同象限的多发性纤维腺瘤以及巨大或复发性叶状肿瘤，在手术治疗方面具有挑战性。我们呈现了一组病例，共16例患者，年龄在19至63岁之间（平均年龄41.5岁），他们因乳腺肿块前来就诊，并于2019年11月至2024年3月在我院采用圆形阻滞技术进行了良性乳腺疾病的手术。手术前，所有患者均进行了临床、放射学和病理学评估。记录了每位患者的年龄、肿块持续时间以及详细的月经史、产科史和家族史。其中8例（50%）患者患有叶状肿瘤，4例（31.25%）患有纤维腺瘤，3例（18.75%）同时患有纤维腺瘤和叶状肿瘤，1例（6.25%）患有腺脂肪瘤。在我们的研究中，肿瘤的平均大小为7.5厘米。术后随访期间，所有患者均未出现乳头乳晕坏死，且他们表示乳头感觉尚可。在所有情况下均避免了乳房切除术。采用圆形阻滞技术可实现良好的美容效果和清晰的切缘状态。
