乳腺叶状囊肉瘤320例诊治分析

目的探讨乳腺叶状囊肉瘤临床诊断和治疗方法。方法回顾分析经手术病理确诊为乳腺叶状囊肉瘤的320例患者的诊断和治疗情况。结果行乳腺X片检查121例,B超检查25例,近红外检查21例,针吸细胞学检查42例;15例(12.4%)乳腺X片检查及3例(14.3%)近红外检查诊断为乳腺叶状囊肉瘤。临床诊断正确率为17.5%(56/320),误诊率为82.5%(264/320)。随访253例患者,其中局部复发45例(17.8%),远处转移死亡13例(5.1%)。结论乳腺叶状囊肉瘤诊断需常规病理检查,治疗宜行局部广泛切除或全乳切除。

Analysis of 320 cases of cytosarcoma phyllodes of breast

OBJECTIVE:To study the clinical diagnosis and treatment of cytosarcoma phyllodes of the breast. METHODS: Diagnosis and treatment data of 320 cases of breast cytosarcoma phyllodes diagnosed by operating pathologist were analysed retrospectively.RESULTS: X-ray for 121 cases, B-ultrasound for 25 cases, near infrared scanning for 21 cases and fine needle aspiration cytology B-supersound 42 cases were performed, and amony these only 15 cases in X-ray (12.4%) and 3 cases in near infrared scanning (14.3%) was diagnosed. About 17.5%(56/320) of patients were diagnosed corrcctly, and the misdiagnosed rate reached 82.5%(264/320). Of 253 cases in the follow-up, 45 patients had local recurrence, and 13 patients died of distant metastasis (5.1%). CONCLUSIONS: The diagnosis of cytosarcoma phyllodes should rely on the pathological finding. Local extend resection or mastectomy is the suitable treatment.