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乳腺分叶状肿瘤(PT)是一种相对罕见的乳腺纤维上皮肿瘤,可以根据其病理特点分为良性、交界性及恶性。虽然WHO关于分叶状肿瘤的分级有明确的定义,但分叶状肿瘤在病理特点上与其他乳腺病变有相互重叠的部分,所以对分叶状肿瘤的诊断及分级对医生也是一个挑战。临床上乳腺分叶状肿瘤的治疗主要依靠手术切除,常规不进行放疗、化疗。分叶状肿瘤的预后与乳腺分叶状肿瘤的良恶性及手术切缘相关。本文主要探究乳腺分叶状肿瘤的诊断分级、治疗以及影响预后的因素。
Breast lobular tumor (PT) is a relatively rare breast fibroepithelial tumor, which can be divided into benign, borderline and malignant according to its pathological features. Although the classification of lobulated tumors in the WHO has a clear definition, lobulated tumors have overlapping features with other breast lesions in pathological features. Therefore, the diagnosis and classification of lobulated tumors is also a challenge to doctors. The clinical treatment of breast lobular tumors mainly rely on surgical resection, conventional radiotherapy and chemotherapy. The prognosis of lobulated tumors is associated with benign and malignant breast lobular tumors and surgical margins. This article mainly explores the diagnosis of breast lobular tumor classification, treatment and prognosis factors.