乳腺蝶形肿瘤:文献综述

IF 1.9 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Breast Journal Pub Date : 2024-07-12 DOI:10.1155/2024/5803290
Mike Wu, Thomas Michael Hughes, Senarath Edirimanne, Nicholas Ngui
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引用次数: 0

摘要

乳腺蝶形瘤是一种罕见的良性乳腺疾病,表现与恶性肿瘤相似。目前的指南是基于病例报告和小型病例系列中的有限证据,建议在显微镜下边缘阴性(R0)的情况下进行切除。尽管手术切缘阴性,但复发的风险很高。我们利用Medline和Embase对2000年以来发表的乳腺脓肿病例进行了回顾,以描述性分析这种罕见疾病的临床表现、诊断、治疗和结果。经过筛选,我们从 39 篇文章中发现了 46 名患者。大多数病例没有危险因素,但有17/46(37%)的患者曾在同侧乳房做过手术。乳腺放射摄影能发现 65% 的病例,超声波能发现 74% 的病例,CT 和核磁共振成像能发现所有病例。术前诊断的最佳方法是进行核心针活检,显示典型的组织学特征和β-catenin染色阳性。42/46的病例接受了明确的手术治疗,其中8例复发。复发发生在首次手术后的 3 年内。中位复发时间为8个月,无复发患者的中位随访时间为12个月。没有发现复发的预测因素。有 7 例患者接受了非手术治疗,其中 3 例至少出现了部分反应。
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Breast Desmoid Tumours: A Review of the Literature

Breast desmoid tumour is a rare type of benign breast disease that presents like malignancy. Current guidelines are based on limited evidence derived from case reports and small case series and recommend resection with microscopically-negative margin (R0). There is a high risk of recurrence despite negative surgical margins. A review of the published cases of breast desmoid since 2000 was conducted using Medline and Embase to descriptively analyse the clinical presentation, diagnosis, treatment, and outcomes of this rare disease. After screening, we identified 46 patients from 39 articles. Most cases did not have risk factors, but 17/46 (37%) had prior procedures on the ipsilateral breast. Mammography was able to detect 65% of the cases, ultrasound detected 74%, and both CT and MRI detected all cases when used. Preoperative diagnosis was best performed using core needle biopsy showing typical histology and positive beta-catenin staining. 42/46 cases underwent definitive surgical management, with 8 cases of recurrence. Recurrence occurred within 3 years of the initial surgery. Median time of recurrence was 8 months, and the median follow-up of the recurrence-free patients was 12 months. There were no predictive factors identified for recurrence. There were 7 cases treated with a nonsurgical modality, with 3 showing at least a partial response.

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来源期刊
Breast Journal
Breast Journal 医学-妇产科学
CiteScore
4.00
自引率
0.00%
发文量
47
审稿时长
4-8 weeks
期刊介绍: The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.
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