Diagnosis and Treatment of Cystosarcoma Phyllodes and GiantFibroadenomas of Breast (Report of 〖STHZ〗17 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

施勇

Corresponding author：

Keywords：

乳腺肿瘤叶状囊肉瘤; 巨纤维腺瘤

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨乳腺叶状囊肉瘤和巨纤维腺瘤的诊断和治疗。
方法　回顾分析我院1985～2002年期间外科收治的9例乳腺叶状囊肉瘤和8例乳腺巨纤维腺瘤的临床资料。
结果　9例乳腺叶状囊肉瘤中行单纯乳房切除术4例，保留乳头皮下乳房切除术1例，保留乳头和部分压缩腺体＋肿块切除术1例，改良根治术3例; 术后恢复良好，仅1例复发。8例乳腺巨纤维腺瘤中行单纯乳房切除术2例，保留乳头皮下乳房切除术1例，保留乳头和部分压缩腺体＋肿块切除术2例，单纯乳腺肿块切除术3例；术后恢复良好，术后2例复发。
结论　乳腺叶状囊肉瘤和巨纤维腺瘤临床上均表现为无痛性包块，除乳腺叶状囊肉瘤发病年龄较大、肿块范围大及易恶变外，二者主要依据病理检查结果相鉴别；均以手术治疗为主，根据患者年龄、肿块大小以及病理检查结果选择不同的手术方式。

Citation： 施勇. Diagnosis and Treatment of Cystosarcoma Phyllodes and GiantFibroadenomas of Breast (Report of 〖STHZ〗17 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(1): 92-93. doi: Copy

1.	Salvadori B, Cusumano F, Del Bo R, et al. Surgical treatment of phyllodes tumors of the breast [Ｊ]. Cancer， 1989; 63(12)∶2532.
2.	Dacic S, Kounelis S, Kouri E, et al. Immunohistochemical profile of cystosarcoma phyllodes of the breast: a study of 23 cases [Ｊ]. Breast J， 2002; 8(6)∶376.
3.	杨名添，刘广森. 乳腺巨纤维腺瘤和叶状囊肉瘤的临床诊断与治疗——52例分析 [Ｊ]. 中山医科大学学报， 1987； 8(3)∶69.
4.	Chao TC, Lo YF, Chen SC, et al. Sonographic features of phyllodes tumors of the breast [Ｊ]. Ultrasound Obstet Gynecol， 2002; 20(1)∶64.
5.	Kapiris I, Nasiri N, A’Hern R, et al. Outcome and predictive factors of local recurrence and distant metastases following primary surgical treatment of high-grade malignant phyllodes tumours of the breast [Ｊ]. Eur J Surg Oncol， 2001; 27(8)∶723.
6.	Khan SA, Badve S. Phyllodes tumors of the breast [Ｊ]. Curr Treat Options Oncol， 2001; 2(2)∶139.
7.	Ridgway PF, Jacklin RK, Ziprin P, et al. Perioperative diagnosis of cystosarcoma phyllodes of the breast may be enhanced by MIB-1 index [Ｊ]. J Surg Res， 2004; 122(1)∶83.
8.	Kok KY, Telesinghe PU, Yapp SK. Treatment and outcome of cystosarcoma phyllodes in Brunei: a 13-year experience [Ｊ]. J R Coll Surg Edinb， 2001; 46(4)∶198.
9.	Zahner J, Bassler R. The rate of mitosis in cystosarcoma phyllodes (phyllodes tumor, WHO) of the breast. An analysis of 47 cases [Ｊ]. Arch Gynecol Obstet， 1989; 246(3)∶153.
10.	Pandey M, Mathew A, Kattoor J, et al. Malignant phyllodes tumor [Ｊ]. Breast J， 2001; 7(6)∶411.
11.	Daya M, Mahomva O, Madaree A, et al. Reduction mammoplasty in cases of giant fibroadenoma among adolescent females. Case reports and literature review [Ｊ]. S Afr J Surg， 2003; 41(2)∶39.

1. 　Salvadori B, Cusumano F, Del Bo R, et al. Surgical treatment of phyllodes tumors of the breast [Ｊ]. Cancer， 1989; 63(12)∶2532.
2. 　Dacic S, Kounelis S, Kouri E, et al. Immunohistochemical profile of cystosarcoma phyllodes of the breast: a study of 23 cases [Ｊ]. Breast J， 2002; 8(6)∶376.
3. 　杨名添，刘广森. 乳腺巨纤维腺瘤和叶状囊肉瘤的临床诊断与治疗——52例分析 [Ｊ]. 中山医科大学学报， 1987； 8(3)∶69.
4. 　Chao TC, Lo YF, Chen SC, et al. Sonographic features of phyllodes tumors of the breast [Ｊ]. Ultrasound Obstet Gynecol， 2002; 20(1)∶64.
5. 　Kapiris I, Nasiri N, A’Hern R, et al. Outcome and predictive factors of local recurrence and distant metastases following primary surgical treatment of high-grade malignant phyllodes tumours of the breast [Ｊ]. Eur J Surg Oncol， 2001; 27(8)∶723.
6. 　Khan SA, Badve S. Phyllodes tumors of the breast [Ｊ]. Curr Treat Options Oncol， 2001; 2(2)∶139.
7. 　Ridgway PF, Jacklin RK, Ziprin P, et al. Perioperative diagnosis of cystosarcoma phyllodes of the breast may be enhanced by MIB-1 index [Ｊ]. J Surg Res， 2004; 122(1)∶83.
8. 　Kok KY, Telesinghe PU, Yapp SK. Treatment and outcome of cystosarcoma phyllodes in Brunei: a 13-year experience [Ｊ]. J R Coll Surg Edinb， 2001; 46(4)∶198.
9. 　Zahner J, Bassler R. The rate of mitosis in cystosarcoma phyllodes (phyllodes tumor, WHO) of the breast. An analysis of 47 cases [Ｊ]. Arch Gynecol Obstet， 1989; 246(3)∶153.
10. 　Pandey M, Mathew A, Kattoor J, et al. Malignant phyllodes tumor [Ｊ]. Breast J， 2001; 7(6)∶411.
11. 　Daya M, Mahomva O, Madaree A, et al. Reduction mammoplasty in cases of giant fibroadenoma among adolescent females. Case reports and literature review [Ｊ]. S Afr J Surg， 2003; 41(2)∶39.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Cystosarcoma Phyllodes and GiantFibroadenomas of Breast (Report of 〖STHZ〗17 Cases)

Abstract Full text Figures/Tables Video References Cited by

Format

Content