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[1125例诊断性部分乳腺切除术分析:癌症的发生情况及其组织学]

[Analysis of 1125 partial breast resections for diagnostic purposes. Occurrence of cancer and its histology].

作者信息

de Mascarel I, Coindre J M, Trojani M

出版信息

Bull Cancer. 1984;71(5):425-31.

PMID:6525468
Abstract

One thousand two hundred and twenty-five partial breast resections, examined in serial gross sections have been retrospectively reviewed. The percentage of benign lesions in comparison with malignant lesions is 70 per cent-30 per cent. The percentage of malignant lesions is maximum (43%) in clustered microcalcifications which are so the best criteria of malignancy. A diagnosis of non infiltrating carcinoma has been misdiagnosed at the first examination in 6 per cent of cases. This misdiagnosis is partially explained by very small foci of carcinoma and recent recognition of certain histological types of early carcinoma. It must be noticed the unsuspected frequence of carcinoma (17%) detected by random in ipsilateral breast tissue from plastic surgery, after controlateral reconstruction for carcinoma. The analysis of benign lesions associated with carcinoma shows a significative frequent association with carcinoma in two types of lesion: radial scar and late phase of blunt duct adenosis.

摘要

对1225例接受系列大体切片检查的部分乳房切除术进行了回顾性研究。良性病变与恶性病变的比例为70% - 30%。在成簇微钙化中恶性病变的比例最高(43%),因此成簇微钙化是最佳的恶性标准。6%的病例在首次检查时将非浸润性癌误诊。这种误诊部分是由于癌灶非常小以及对某些早期癌组织学类型的新近认识。必须注意到,在对侧乳腺癌重建术后,在同侧乳房整形手术的组织中随机检测到意外的癌发生率(17%)。与癌相关的良性病变分析显示,在两种病变类型中与癌有显著的频繁关联:放射状瘢痕和钝性导管腺病晚期。

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