目的　分析乳腺叶状肿瘤的病理特征和临床表现 ,探讨诊治方法。方法　回顾性分析 2 2例经病理证实的乳腺叶状肿瘤。结果　行乳房肿瘤扩大切除术 9例 ,乳房切除术 4例 ,乳房改良根治术 2例 ,行乳房肿瘤局部切除术 7例。 4例乳房肿瘤局部切除术后出现复发 ,局部复发率 19%。结论　乳腺叶状肿瘤术前确诊较困难 ,其局部复发与是否手术彻底切除密切相关。对病理诊断为巨纤维腺瘤者 ,局部切除术后应加强随访 Objective To analyze the pathological features and clinical manifestations of breast phyllodes tumor and to explore the methods of diagnosis and treatment. Methods Retrospective analysis of 22 cases of pathologically confirmed leaf tumor of the breast. Results 9 cases of breast tumor expansion excision, mastectomy in 4 cases, modified radical mastectomy in 2 cases, breast tumor resection in 7 cases. Four cases of breast tumor recurrence after partial resection, the local recurrence rate of 19%. Conclusions Preoperative diagnosis of leaf tumor of the breast is more difficult, and its local recurrence is closely related to whether the operation is completely removed. Pathological diagnosis of giant fibroadenoma, local excision should be followed up