一家三甲医院的植物瘤术后手术切缘结果。

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/1806-9282.20240833
Fatih Dal, Semiha Battal Havare
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摘要

目的:乳腺梭形细胞瘤是一种非常罕见的纤维上皮性肿瘤。文献中通常将其分为良性蝶形花序瘤、边缘蝶形花序瘤和恶性蝶形花序瘤。本研究旨在评估和介绍确诊为蝶形花瘤患者的临床和手术结果:方法:对 2006 年至 2023 年期间确诊的 18 岁及以上蝶骨瘤患者的治疗结果进行回顾性研究。将患者分为良性蝶形细胞瘤和边缘/恶性蝶形细胞瘤,并通过临床和手术结果进行比较:在所有57例植物瘤患者中,64.9%(37例)为良性植物瘤,35.1%(20例)为边缘/恶性植物瘤[22.8%(13例)为边缘植物瘤,12.3%(7例)为恶性植物瘤]。将患者分为良性植物瘤和边缘/恶性植物瘤两组并进行比较,我们的累积(总)复发率为 14.0%,组间最终手术切缘宽度[(0结论:乳腺鳞状上皮细胞瘤可采用窄的阴性手术切缘(0 mm)进行随访。
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Postoperative surgical margin results of the phyllodes tumors from a tertiary hospital.

Objective: Phyllodes tumors in the breast are exceptionally uncommon fibroepithelial tumors. In the literature, they are typically categorized as benign phyllodes tumor, borderline phyllodes tumor, and malignant phyllodes tumor. This study aims to assess and present the clinical and surgical outcomes of patients diagnosed with phyllodes tumor.

Methods: The outcomes of patients aged 18 years and above diagnosed with phyllodes tumor between 2006 and 2023 were retrospectively reviewed. Patients were grouped as benign phyllodes tumor and borderline/malignant phyllodes tumor and compared by clinical and surgical results.

Results: Of all 57 patients with phyllodes tumor, 64.9% (n=37) were benign phyllodes tumor and 35.1% (n=20) were borderline/malignant phyllodes tumor [22.8% (n=13) borderline phyllodes tumor and 12.3% (n=7) malignant phyllodes tumor]. When the patients were divided into two groups as benign phyllodes tumor and borderline/malignant phyllodes tumor and compared, our cumulative (total) recurrence rate was 14.0%, with final surgical margin width between groups [(0

Conclusion: Phyllodes tumors of the breast can be followed up with a narrow negative surgical margin (0 mm

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