复发性巨型鳞状上皮肿瘤及文献综述

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摘要

皮样瘤是一种罕见的乳腺肿瘤,发病率不到 1%。与乳腺癌不同的是,皮样瘤是从乳腺导管和腺体开始生长的,而乳腺癌是从乳腺结缔组织开始生长的。它们生长迅速,表现多样,大多数为良性,类似纤维腺瘤,也有少量边缘性肿瘤和恶性肿瘤。正确的诊断主要是通过核心针活检,决定是否需要手术治疗也很重要。这里有一例 38 岁女性的病例,她的右侧乳房反复出现快速生长的肿块,乳头变形,边界不规则。核磁共振成像显示,右侧乳房肿块病变大小为 9.5 厘米×14 厘米×20 厘米,伴有少量囊性区域,胸壁浸润不明显,尤其是肋下肌肉。确诊为植物瘤后,患者接受了全乳切除术,切除了部分胸大肌,并进行了背阔肌肌皮瓣重建术。
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A Recurrent Giant Phyllodes Tumor with Review of Literatures
Phyllodes tumors are rare breast tumors accounting for less than 1% Unlike breast cancers where they started from ducts and glands, phyllodes tumors start in the connective tissue of the breast. They are fast growing tumors with a large spectrum of behavior and most of them are benign with resemble of fibroadenoma with small number of borderline and malignant tumors. The correct diagnosis is mostly through core needle biopsy and it is also important to decide whether surgical management has to be done. Here we had a case of 38 year-old woman having recurrent fast growing lump to her right breast with distorted nipple with irregular border. MRI showed mass lesion measuring 9.5cm×14cm×20cm at right breast with few cystic areas with subtle chest wall infiltration especially underling muscles. After diagnosed to have phyllodes tumor total mastectomy involving partially the pectorals’ major with latissimus Dorsi myocutaneous flap reconstruction was done.
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