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目的探讨乳腺叶状肿瘤的诊断和治疗策略。方法回顾性分析收治并经手术病理证实的乳腺叶状肿瘤患者共计29例,平均发病年龄为39.8岁;并行手术或病理证实。结果 29例乳腺叶状肿瘤中良性为12例、交界性10例、恶性7例,均行手术治疗,其中肿瘤局部切除术6例,肿瘤扩大局部切除术16例,乳腺单纯切除术4例,改良根治术3例;随访25例,平均随访2.3年。结论乳腺叶状肿瘤被认为是一系列的肿瘤疾病,术前空心针穿刺活检有助诊断。手术治疗是主要的治疗方式,应实施规范化的手术并结合患者的临床病理学特点实施个体化的治疗,术后注意局部高复发倾向,定期随访。
Objective To investigate the diagnosis and treatment of breast phyllodes tumor. Methods A retrospective analysis of 29 patients with breast phyllodes tumor confirmed by surgery and pathology was performed. The mean age of onset was 39.8 years old. Conclusions of surgery or pathology were confirmed. Results Among the 29 cases of breast phyllodes tumors, 12 cases were benign, 10 cases were borderline and 7 cases were malignant. Surgical resection was performed in 6 cases, including tumor resection in 6 cases, tumor enlargement in 16 cases, breast excision in 4 cases, Modified radical mastectomy in 3 cases; 25 cases were followed up for an average of 2.3 years. Conclusions Breast leaf tumor is considered to be a series of tumor diseases, preoperative hollow needle biopsy can help diagnose. Surgical treatment is the main treatment, should implement standardized surgery and patients with clinical and pathological features of individualized treatment, postoperative attention to the tendency of local high recurrence, regular follow-up.