摘要
目的:探讨乳腺分叶状肿瘤的临床诊断、治疗及预后的关系。方法:回顾分析我院收治的8例(14例次)乳腺分叶状肿瘤患者的临床资料。结果:14例次患者的平均年龄43.5岁,按WHO(2003年)分类标准,其中5例次良性,3例次交界性,6例次恶性;5例次局部扩大切除术,7例次单纯乳腺皮下切除术,1例次单纯乳腺皮下切除术加植皮术;1例次行肿瘤及胸大小肌切除术。8例患者全部随访,平均随访时间30个月(2~60个月),共有6例次局部复发,1例骨转移及肺转移。结论:乳腺分叶状肿瘤的首选治疗方法是手术,复发患者仍然首选手术,出现远处转移可考虑辅助放化疗。
Objective:To investigate the diagnosis,treatment and prognosis of the phyllodes tumor of the breast.Methods:Retrospective analysis of clinical dato of 14 cases with phyllodes tumor of the breast in our hospital.Results:The average age of the 14 cases was 43.5 years.According to the histologic criteria of WHO(2003),in the 14 cases,5 cases were benign,3 cases were borderline and 6 cases were malignant. 5 cases underwent local excision,7 cases underwent mastectomy,1 case underwent mastectomy and skin graft surgery,and 1 case underwent pectoralis major and minor muscle resection,8 patients were followed up for 2 months to 60 months,and the average length of the follow-up period was 30 months.Local recurrence occurred in 6 patients.1 case of breast cancer had lung and bone metastasis.Conclusion:Surgical treatment for the phyllodes tumor of the breast may be the best approach.Surgery is still the first choice in patients with recurrent,and the patients with distant metastases could receive adjuant rediation and chemotherapy.
出处
《内蒙古医学杂志》
2011年第4期432-434,共3页
Inner Mongolia Medical Journal
关键词
乳腺
分叶状肿瘤
Breast
Phyllodes tumor