Clinical analysis of phyllodes tumors.doc

 PAGE \* MERGEFORMAT 7 Clinical analysis of phyllodes tumors [Keywords:] Clinical analysis of phyllodes tumor of breast Phyllodes tumor (phyllodes tumour, PT) is a two-phase differentiation of breast tumors, from benign epithelial component and stromal composition, less common, accounting for 0.3% of breast cancer 0.9%, accounting for breast epithelial fibers 2.5% of the tumor [1]. It is called cystosarcoma phyllodes of the past, in 1938 Muller was first reported by the 1982 WHO classification based on the principles of organization to phyllodes tumor [2], divided into benign, borderline, Malignant three categories. it has the characteristics of high local recurrence, now nearly 6 years we treated 4 patients report the following. 1 Clinical data Example 1, women, aged 42, due to find “the right breast tumor in August” admission, physical examination, see the right breast upper outer quadrant tumor, about 5 cm, state of the Qing, the activity is good. B super show: tumor capsule complete tumor in echoes due to uniform, mammography X ray film right breast tumor oval, smooth edges, without calcification. preoperative diagnosis: right breast fibroadenoma, the line “tumor resection.” pathology return : phyllodes tumor, benign. made a condition of communication with patients, we recommend re-operation. As patients with smaller breasts, so the line “right mastectomy.” So far no recurrence. Example 2, female, 20 years old, right breast tumor 4 years, beginning about the size of peanuts, grown significantly in recent months, is approximately 4 cm. Examination: tumor located in the upper quadrant, the activity is good, clean state, it seems leaf sense of quality tough. B super show tumor border clearance. preoperative breast fibroadenoma may be considered, but did not rule out foreign phyllodes tumor. it is the line “tumor extended resection,” and around the tumorgt; 1 cm of normal tissue be removed. intraoperative frozen section report: fibroadenoma; path