Costantino V, Da Lio C, Sperti C, Petrin P, Pedrazzoli S
Istituto di Semeiotica Chirurgica, Università degli Studi di Padova.
Minerva Med. 1994 Mar;85(3):113-6.
Malignant tumors of the breast arising from the connective tissue of the gland are rare and underestimated. Three new cases are here reported: 1 malignant fibrous histiocytoma and 2 malignant phylloides tumors. Tumor size, mammographic findings and cytologic aspect of the needlebiopsy lead to the correct diagnosis. Large excision or radical mastectomy are treatments of choice, while axillary lymph nodes dissection does not appear justified, since metastatic spread via lymphatics is rare. Postoperative radiation and chemotherapy seem not effective in preventing local recurrences.
源自乳腺结缔组织的恶性肿瘤较为罕见且易被低估。本文报告三例新病例:1例恶性纤维组织细胞瘤和2例恶性叶状肿瘤。肿瘤大小、乳房X线摄影表现及针吸活检的细胞学特征有助于做出正确诊断。手术切除或根治性乳房切除术是首选治疗方法,而腋窝淋巴结清扫似乎并无必要,因为通过淋巴管转移很少见。术后放疗和化疗似乎对预防局部复发无效。