摘要
目的探讨儿童乳腺肿块的临床特点及诊治方法。方法将2001至2006年郑州大学第一附属医院乳腺外科收治的61例儿童乳腺肿块病例分为3组：生理性肿块20例；良性肿瘤38例；恶性肿瘤3例，对其临床资料及治疗方法进行回顾性分析。结果20例生理性肿块，未经治疗，随诊观察，17例1年内消失，2例2年内消失，1例未消失。38例良性肿瘤手术切除后，36例治愈，2例复发；3例恶性肿瘤分别行瘤体切除、乳房单切、及根治性手术，2例5年内未见复发，1例术后1年死亡。结论儿童乳腺生理性肿块勿需治疗，多可自愈。良性肿瘤手术治疗效果好。恶性肿瘤临床罕见，疗效及预后尚难预料。
Objective To summarize the diagnosis and treatment of breast lumps in childrenMethods The clinical data of 61 children with breast lumps,20 with physiological breast masses, 5 male and 15 female, aged 1 - 14, 38 with benign tumors, 1 male and 37 female, aged 10-14, 3 with malignant tumors, aged 7 months, and 10 and 13 years, diagnosed and treated 2001-2006 were analyzed. Results The 20 cases of physiological masses did not undergo any treatment and were followed up for 2 years. The masses disappear by itself within one year in 17 cases, disappear within 2 years in 2 cases, and remained the same size in 1 case. The 38 cases with benign tumors all underwent resection, 36 cases were cured and 2 cases recurred. Recurrence was not seen in 2 of the 3 cases of malignant breast tumors, and the patient of liomyosareoma died one year after the operation. Conclusion Physiological breast masses in children needn＇t treatment ; mostly enjoy spontaneous cure. The outcomes of benign breast tumors in children are good after operation. Malignant breast tumor is rare, and it is still difficult to predict its prognosis now.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2008年第36期2556-2557,共2页
National Medical Journal of China
关键词
乳腺肿瘤
诊断
治疗
Breast neoplasms
Diagnosis
Treatment
