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乳腺叶状囊肉瘤

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Methods 12 cases of cystosarcoma phyllodesand after surgical were retrospectively reviewed.

方法对经手术治疗的12例乳腺叶状囊肉瘤患者的临床资料进行回顾性分析。

Objective To explore the clinical characteristics of breast cystosarcoma phyllodes, surgical management and factor of effect on progronis.

目的探讨乳腺叶状囊肉瘤的临床特点、外科治疗方法及影响预后的因素。

Methods:The mommograms of 13 cases with pathologically proved breast cystosarcoma phyllodes were reviewed.

回顾性分析 13例经手术病理证实的乳腺叶状囊肉瘤X线征象。

Objective:To improve the understanding of mammographic characteristics of breast cystosarcoma phyllodes.

目的 :通过对乳腺叶状囊肉瘤X线征象分析以提高对其X线诊断水平。

breast ultrasounography for cystosarcoma phyllodes sarcoma has difficulty in diffrentiation of benign and malignant lesions, but it is certainly more typical image features.

超声对乳腺叶状囊肉瘤的良、恶性诊断困难,具有较典型的图像特征。

All cases were follow up between 1 - 18 years, 1 case lost, 2 cases recurred after surgical 1.5 and 2.0 years and cystosarcoma were removed again,and other patients were free from cancer cell.

结论乳腺叶状囊肉瘤诊治依据病理学检查,但单一的组织学常难以在形态学预测其生物学行为;其预后因素与肿瘤组织学分级和大小有关。

Results Among the 12 cases cystosarcoma phyllodesand, 5 cases underwent total mastectomy, 2 cases underwent modified radical masteetomy, 1 case underwent local excision and reserve nipple, and 4 cases underwent lesion removed and reserve nipple or gland.

结果 12例乳腺叶状囊肉瘤中,行单纯乳房切除术5例,改良根治术2例,保留乳头皮下乳房切除术1例,保留乳头和部分压缩腺体加肿块切除术4例;术后随访1~18年,失访1例,2例分别于术后1.5年、2年出现肿块复发,再次手术切除,其余患者无复发或转移,并元瘤生存。

OBJECTIVE:To study the clinical diagnosis and treatment of cytosarcoma phyllodes of the breast.

目的探讨乳腺叶状囊肉瘤临床诊断和治疗方法。

METHODS: Diagnosis and treatment data of 320 cases of breast cytosarcoma phyllodes diagnosed by operating pathologist were analysed retrospectively.

方法回顾分析经手术病理确诊为乳腺叶状囊肉瘤的320例患者的诊断和治疗情况。

Keywords breast neoplasms/diagnosis;phyllodes tumor/diagnosis;diagnostic errors;prognosis

乳腺肿瘤/诊断;叶状囊肉瘤/诊断;误诊;预后

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