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乳腺叶状肿瘤

Phyllodes tumor of the breast.

作者信息

Reinfuss M, Mitus J, Stelmach A

机构信息

Center of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow, Poland.

出版信息

Strahlenther Onkol. 1995 Jan;171(1):5-11.

PMID:7839306
Abstract

PURPOSE

Presentation of the microscopical and clinical findings, prognostic factors and principles of treatment of the phyllodes tumor of the breast.

PATIENTS AND METHODS

This paper reviews the published data on this rare and intriguing tumor of the breast.

RESULTS AND CONCLUSIONS

The main prognostic factor is the histotype of the phyllodes tumor (benign, borderline, malignant) assessed on the basis of the criteria proposed by Azzopardi [3] and Salvadori et al. [50]. Wide local excision with an adequate marg in of normal breast tissue is the preferred initial therapy for phyllodes tumor. Mastectomy is indicated only for very large tumors compared with breast morphologic size and for recurrences of borderline and malignant tumors.

摘要

目的

介绍乳腺叶状肿瘤的显微镜检查及临床发现、预后因素和治疗原则。

患者与方法

本文回顾了关于这种罕见且引人关注的乳腺肿瘤的已发表数据。

结果与结论

主要预后因素是根据阿佐帕迪[3]和萨尔瓦多里等人[50]提出的标准评估的叶状肿瘤组织类型(良性、交界性、恶性)。对叶状肿瘤而言,首选的初始治疗方法是进行广泛局部切除,并保留足够的正常乳腺组织边缘。仅当肿瘤相对于乳房形态大小非常大,以及交界性和恶性肿瘤复发时,才考虑行乳房切除术。

相似文献

1
Phyllodes tumor of the breast.乳腺叶状肿瘤
Strahlenther Onkol. 1995 Jan;171(1):5-11.
2
Phyllodes tumors of the breast: a case series of 106 patients.乳腺叶状肿瘤:106例病例系列
Am J Surg. 2006 Aug;192(2):141-7. doi: 10.1016/j.amjsurg.2006.04.007.
3
[Cystosarcoma phylloides of the breast. A retrospective analysis of 12 cases].[乳腺叶状囊肉瘤。12例回顾性分析]
Geburtshilfe Frauenheilkd. 1996 Jan;56(1):35-40.
4
Phyllodes tumors of the breast diagnostic and therapeutic dilemmas.乳腺叶状肿瘤的诊断与治疗难题
Onkologie. 2007 Mar;30(3):113-8. doi: 10.1159/000099580. Epub 2007 Feb 16.
5
[Phyllodes tumor of the breast: diagnostic and therapeutic problems].[乳腺叶状肿瘤:诊断与治疗问题]
Ann Ital Chir. 1996 Mar-Apr;67(2):219-23.
6
[Phyllodes tumor of the breast (cystosarcoma phyllodes) (apropos 3 cases)].[乳腺叶状肿瘤(叶状囊肉瘤)(附3例报告)]
Chir Ital. 1990 Feb-Apr;42(1-2):59-68.
7
Surgical treatment of phyllodes tumors of the breast: retrospective review of 172 cases.乳腺叶状肿瘤的外科治疗:172例回顾性分析
J Surg Oncol. 2005 Sep 1;91(3):185-94. doi: 10.1002/jso.20334.
8
Phyllodes tumor of the breast.乳腺叶状肿瘤
Int J Radiat Oncol Biol Phys. 2008 Feb 1;70(2):492-500. doi: 10.1016/j.ijrobp.2007.06.059. Epub 2007 Oct 10.
9
The treatment and prognosis of patients with phyllodes tumor of the breast: an analysis of 170 cases.乳腺叶状肿瘤患者的治疗与预后:170例分析
Cancer. 1996 Mar 1;77(5):910-6. doi: 10.1002/(sici)1097-0142(19960301)77:5<910::aid-cncr16>3.0.co;2-6.
10
Diagnosis and management of phyllodes tumour of the breast: experience of 33 cases at a specialist centre.乳腺叶状肿瘤的诊断与治疗:一家专科中心33例病例的经验
Ann R Coll Surg Engl. 1995 May;77(3):181-4.

引用本文的文献

1
Outcomes of systemic therapy in metastatic phyllodes tumor of the breast.乳腺叶状肿瘤转移系统治疗的结果。
Breast Cancer Res Treat. 2021 Apr;186(3):871-882. doi: 10.1007/s10549-021-06116-8. Epub 2021 Feb 11.
2
The role of adjuvant radiotherapy in patients with malignant phyllodes tumor of the breast: a propensity-score matching analysis.辅助放疗在乳腺恶性叶状肿瘤患者中的作用:倾向评分匹配分析。
Breast Cancer. 2021 Jan;28(1):110-118. doi: 10.1007/s12282-020-01135-7. Epub 2020 Aug 3.
3
Treatment of Patients with Distant Metastases from Phyllodes Tumor of the Breast.
乳腺叶状肿瘤远处转移患者的治疗
World J Surg. 2016 Feb;40(2):323-8. doi: 10.1007/s00268-015-3262-7.
4
Changes in the clinical characteristics, treatment options, and therapy outcomes in patients with phyllodes tumor of the breast during 55 years of experience.55 年经验总结:乳腺叶状肿瘤患者的临床特征、治疗选择和治疗结果的变化。
Med Sci Monit. 2013 Dec 19;19:1183-7. doi: 10.12659/MSM.889687.