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为了探讨乳腺分叶状肿瘤外科治疗方法的选择,观察其影响预后的因素,对我院2001-01-2008-01收治的65例乳腺分叶状肿瘤的临床资料进行回顾性分析。65例分叶状肿瘤均经手术治疗,病理良性32例,交界性13例,恶性20例;15例肿块切除术复发8例,30例行局部扩大切除术复发3例,15例行乳房单切术复发2例,5例发现腋淋巴结肿大行乳房单切+腋淋巴结清除术,其中2例分别于术后10和18个月死于远处转移。初步研究结果提示,局部扩大切除术是治疗乳腺分叶状肿瘤的首选方案,但应保证组织学上干净的切缘,乳房单切术对恶性分叶状肿瘤没有生存优势,对局部复发的交界性或恶性肿瘤选择乳房单切术,无需行淋巴结清除。
In order to explore the surgical treatment of breast lobular tumor selection, and to observe the factors that affect the prognosis of our hospital from January 2001 to January 2008,81 cases of breast phyllodes tumor clinical data were retrospectively analyzed. 65 cases of lobulated tumors were surgically treated, pathological benign in 32 cases, borderline in 13 cases, 20 cases of malignant; 15 cases of tumor resection in 8 cases, 30 cases of local enlargement resection in 3 cases, 15 cases of breast single 2 cases had recanalization and 5 cases had axillary lymphadenopathy in which the patients underwent unilateral mastectomy and axillary lymph node dissection. Two of them died of distant metastasis at 10 and 18 months after operation. Preliminary findings suggest that the local expansion of the excision is the treatment of breast lobular tumor of choice, but should ensure that the histological clean margin, unilateral mastectomy for malignant lobulated tumor survival advantage, the border of local recurrence Mammotomy for sex or malignancy without lymph node dissection.