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目的探讨乳腺分叶状腺瘤的手术治疗方法。方法回顾分析2004年1月至2009年10月65例乳腺分叶状肿瘤的患者的临床资料。结果65例患者均得到随访,随访时间2～10年,3例术后4～6年出现肺转移行单侧肺叶切除,7例肿瘤局部复发再次行肿瘤切除手术。所有患者术后生活质量良好,无死亡病例。结论乳腺分叶状肿瘤临床上少见,且容易漏诊、误诊,因其临床表现和辅助检查缺少特异性所致。治疗上必须结合病史、肿瘤大小、病理类型等因素,选择合理的术式及治疗方案,同时加强术后随访,以提高手术的预后。
Objective To investigate the surgical treatment of breast lobular adenoma. Methods The clinical data of 65 patients with breast lobular tumors from January 2004 to October 2009 were retrospectively analyzed. Results All the 65 patients were followed up for 2 to 10 years. Three cases had unilateral lung lobectomy after 4 to 6 years of lung metastases and 7 cases of local tumor recurrence after operation. All patients had good postoperative quality of life with no deaths. Conclusions Breast lobular tumors are rare in clinical practice, and are easily misdiagnosed and misdiagnosed due to the lack of specificities in their clinical manifestations and laboratory examinations. Treatment must be based on history, tumor size, pathological type and other factors, choose a reasonable surgical procedures and treatment options, while strengthening postoperative follow-up, in order to improve the prognosis of surgery.