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目的探讨乳腺分叶状肿瘤的临床特点、治疗方法以及影响预后的因素。方法回顾性分析我院2003年6月-2008年6月收治的23例乳腺分叶状肿瘤患者的诊疗资料。结果 23例患者中行局部肿块切除术16例,行乳房单纯切除术6例,行乳腺癌改良根治术1例。术后全部随访,随访时间10-56个月,平均21个月,1例行乳腺癌改良根治术后4年死亡,1例行局部切除术后复发。结论局部扩大切除术治疗乳腺分叶状肿瘤是确实可行的。临床须结合病史、肿块大小及病理类型等各种因素,选择合理有效的治疗方案。
Objective To investigate the clinical features, treatment and prognostic factors of breast lobular tumors. Methods The clinical data of 23 patients with breast phyllodes tumor who were treated in our hospital from June 2003 to June 2008 were retrospectively analyzed. Results Twenty-three patients underwent partial mastectomy in 16 cases, 6 cases underwent simple mastectomy and 1 case underwent radical mastectomy for breast cancer. All patients were followed up for 10-56 months with an average of 21 months. One patient underwent radical mastectomy for 4 years after radical mastectomy and one patient underwent local excision. Conclusion Local extended excision of breast lobular tumors is indeed feasible. Clinical should be combined with history, mass size and pathological types and other factors, choose a reasonable and effective treatment options.