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乳腺叶状肿瘤因出血性梗死而增大：一例报告

Phyllodes Tumor of the Breast Enlarged by Hemorrhagic Infarction: A Case Report.

作者信息

Nagata Yoshika, Yamada Yui, Kinoshita Izumi, Saeki Toshihiro, Fujikawa Takahisa

机构信息

Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.

Pathology, Kokura Memorial Hospital, Kitakyushu, JPN.

出版信息

Cureus. 2024 Oct 21;16(10):e72073. doi: 10.7759/cureus.72073. eCollection 2024 Oct.

DOI:10.7759/cureus.72073
PMID:39575027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11578934/
Abstract

Breast phyllodes tumors are rare mesenchymal tumors, often accompanied by internal cysts, hemorrhages, infarctions, and necrosis. The tumor exhibits rapid growth, especially when infarct necrosis occurs within the tumor. In the current report, we showed a woman in her 50s who noticed a rapidly growing breast mass and received an excisional biopsy diagnosis of a phyllodes tumor with hemorrhagic infarction. Pathological diagnosis was challenging due to severe hemorrhage and necrosis; however, a comprehensive diagnosis that considered imaging tests recommended appropriate surgical treatment. Here, we report our experience and further analyze the existing literature regarding the prognostic impact of phyllodes tumors enhanced by intratumoral changes.

摘要

乳腺叶状肿瘤是罕见的间叶组织肿瘤，常伴有内部囊肿、出血、梗死和坏死。肿瘤生长迅速，尤其是当肿瘤内发生梗死性坏死时。在本报告中，我们展示了一位50多岁的女性，她发现乳房肿块迅速增大，并接受了切除活检，诊断为伴有出血性梗死的叶状肿瘤。由于严重的出血和坏死，病理诊断具有挑战性；然而，综合考虑影像学检查的全面诊断为适当的手术治疗提供了建议。在此，我们报告我们的经验，并进一步分析现有文献中关于肿瘤内变化对叶状肿瘤预后影响的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/d82a2c53009a/cureus-0016-00000072073-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/6457d4c425bc/cureus-0016-00000072073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/201b2df7a98a/cureus-0016-00000072073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/eb366d9b6c3a/cureus-0016-00000072073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/d82a2c53009a/cureus-0016-00000072073-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/6457d4c425bc/cureus-0016-00000072073-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/201b2df7a98a/cureus-0016-00000072073-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/eb366d9b6c3a/cureus-0016-00000072073-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dbf/11578934/d82a2c53009a/cureus-0016-00000072073-i04.jpg

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Invasive breast cancer with complete infarct necrosis: Presentation of case.伴有完全梗死性坏死的浸润性乳腺癌：病例报告
Int J Surg Case Rep. 2023 Apr;105:108067. doi: 10.1016/j.ijscr.2023.108067. Epub 2023 Mar 28.
2
Management of phyllodes tumor: A systematic review and meta-analysis of real-world evidence.叶状肿瘤的治疗管理：真实世界证据的系统评价和荟萃分析。
Int J Surg. 2022 Nov;107:106969. doi: 10.1016/j.ijsu.2022.106969. Epub 2022 Oct 31.
3
Re-Classification with Outcome Correlation of Previously Diagnosed Malignant Phyllodes Tumors Applying the 2016 Consensus Guidelines.
重新分类应用 2016 年共识指南的先前诊断的恶性叶状肿瘤的相关性结果。
Int J Surg Pathol. 2023 Aug;31(5):557-563. doi: 10.1177/10668969221106105. Epub 2022 Jul 3.
4
Width of margins in phyllodes tumors of the breast: the controversy drags on?-a systematic review and meta-analysis.乳腺叶状肿瘤的边缘宽度：争议仍在继续？——一项系统评价和荟萃分析。
Breast Cancer Res Treat. 2021 Jan;185(1):21-37. doi: 10.1007/s10549-020-05924-8. Epub 2020 Sep 15.
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Re-excision or "wait and watch"-a prediction model in breast phyllodes tumors after surgery.再次切除还是“观察等待”——乳腺叶状肿瘤术后的预测模型
Ann Transl Med. 2020 Mar;8(6):371. doi: 10.21037/atm.2020.02.26.
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Local Recurrence of Benign, Borderline, and Malignant Phyllodes Tumors of the Breast: A Systematic Review and Meta-analysis.乳腺良性、交界性和恶性叶状肿瘤局部复发：系统评价和荟萃分析。
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