摘要
目的:探讨乳腺叶状肿瘤的病理特征、诊断、鉴别诊断以及与治疗和预后的关系。方法:对经手术和病理诊断的13例乳腺叶状肿瘤的临床病理资料进行回顾性分析。结果:13例平均年龄为43岁。根据肿瘤生长方式,瘤细胞异型,核分裂和肿瘤坏死进行乳腺叶状肿瘤分级,良性4例,交界性7例,恶性2例。结论:肿瘤的复发率随病理组织学等级递增而升高,随手术范围增大而下降,并与乳腺巨纤维瘤及其他乳腺肉瘤相鉴别。建议不管叶状肿瘤病理组织学分类如何,仍把它看作是低度恶性或恶性病变处理。
Objective：To investigate the pathological features of lobular mammary tumor and its relationship with the diagnosis, differentiating diagnosis, treatment and prognosis. Methods： The retrospective analysis of clinical pathological data was done in 13 cases of lobular mammary tumor with surgery operation or pathological diagnosis. Results： The average age of the 13 cases was 43 years old. According to the tumor growth type, abnormality of tumor cells, nuclar cleavage type and tumor necrosis, lobular mammary tumor was graded into the following three types： 4 cases of benign, 7 cases of verge type and 2 cases of malignant type. Conclusion： The relapse rate of the tumor is positively related with the increase of the pathological tissue grade and negatively related with the extension of surgical area. To differentiate the giant fibroma and other mammary tumors, it is suggested that the lobular mammary tumor should be treated as low differentiation malignant tumor.
出处
《现代肿瘤医学》
CAS
2008年第2期214-215,共2页
Journal of Modern Oncology
关键词
乳腺叶状肿瘤
病理分级
交界性
外科切除
phyllodes tumor of breast
pathological grading
verge type
surgical resection
