青春期乳腺巨纤维腺瘤在临床上并不常见。我院自1978年5月至91年2月共收治青春期乳腺巨纤维腺瘤12例,现报告如下。 临床资料 所有患者均为女性,年龄最大16岁,最小10岁,其中右侧6例,左侧3例,双侧3例。肿块最小7×7×5cm,最大18×14×8cm。月经初潮前5例,初潮后4例,月经情况不详者3例。发现距就诊时间1个月～4年。平均9.9个月。治疗情况:12例中除1例行改良根治术外。均行肿块切除术。所有肿块均经病理诊断为:乳腺纤维腺癌。术后随访1～11年,行肿块切除术者,乳腺发育良好。其中2例术后复发,后分别行二次手术切除。12例详情列表如下。 Adolescent breast giant fibroadenomas are not clinically common. Our hospital has treated adolescent mammary giant fibroadenomas in 12 cases from May 1978 to February 1991. The report is as follows. Clinical data All patients were female, the oldest 16 years old, the youngest 10 years old, including the right 6 cases, left 3 cases, bilateral 3 cases. The mass was at least 7 x 7 x 5 cm, with a maximum of 18 x 14 x 8 cm. There were 5 cases before menarche, 4 cases after menarche, and 3 cases with unknown menstruation. Findings from one month to four years away from the clinic. Average 9.9 months. Treatment: In addition to modified radical surgery, 12 cases were excluded. All patients underwent lumpectomy. All lumps were pathologically diagnosed as: breast fibrocarcinoma. After 1 to 11 years of follow-up, patients undergoing lumpectomy had good mammary gland development. Two of these patients had recurrence after surgery and were followed by a second surgical resection. The 12 details list is as follows.