论文部分内容阅读
患者女,37岁,于1997年2月12日收入院。既往左乳腺外象限曾三次出现肿物,三次手术切除后病理检查均为“乳腺纤维腺瘤”。第三次手术后近一年又在原位复发。该患者肿物特点为:(1)生长缓慢,体积相似;(2)生长部位、性质相同。此次入院体检:肿物位于左乳外侧(原手术切口瘢痕下),体积5cm×3cm×3cm,分叶状,光滑,与皮肤、胸肌无粘连,可以推动,有轻压痛。入院后行钼靶造影,示肿物边缘清晰,外周有一脂肪圈影。入院诊断:“左乳纤维腺瘤”。手术切除肿物,术中送冰冻病理检查,示“纤维腺瘤”。为达到根治目的,扩大切除范围,将肿物周围2cm组织一并切除,深达胸肌筋膜,同时行局部旋转皮
Female patient, 37 years old, was admitted to hospital on February 12, 1997. Past the left quadrant of the left outer quadrant had three tumors, three surgical resection pathological examination are “breast fibroadenoma ”. Almost a year after the third surgery in situ recurrence. The patient’s tumor characteristics are: (1) slow growth, similar volume; (2) growth sites, the same nature. The admission examination: the tumor located in the left lateral breast (the original surgical incision scar), volume 5cm × 3cm × 3cm, lobulated, smooth, no adhesion with the skin, chest, can promote mild tenderness. After admission mammography, showed a clear edge of the tumor, the outer circumference of a fat shadow. Admission diagnosis: “Left breast fibroadenoma ”. Surgical resection of the tumor, surgery to send frozen pathological examination, showed “fibroadenoma ”. In order to achieve the purpose of radical, expand the scope of resection, removal of 2cm tissue around the tumor together, deep pectoral fascia, while the local rotation of the skin