从外科角度探讨乳腺导管内乳头状瘤癌变的治疗方法  

Discussion on Surgical Options for Treatment of Cancerization Relative to Breast Intraductal Papilloma

作　　者：李洪涛[1] 赵颖[1] 宁连胜[1] 

机构地区：[1]天津医科大学附属肿瘤医院乳腺一科,天津市300060

出　　处：《中国肿瘤临床》2006年第2期99-101,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:初步探讨乳腺导管内乳头状瘤癌变的术式。方法:对2000年1月～2004年12月本院收治的63例乳腺导管内乳头状瘤癌变病例的临床病理资料进行收集、整理、分析。结果:63例患者均接受手术治疗,其中1/4乳腺切除2例,1/4乳腺切除+腋淋巴结清扫12例,全乳切除+腋淋巴结清扫20例,仿根治术Ⅰ式(Auchincloss)23例,仿根治术Ⅱ式(Patey)5例,根治术1例。术后病理报告乳头状瘤癌变局限于导管内43例,乳头状瘤癌变伴早期浸润20例,切缘均为阴性,均未见淋巴结转移。结论:对于乳腺导管内乳头状瘤癌变可采用包括病变导管和(或)肿物的局部扩大切除术,不必常规清扫腋淋巴结。Objective： To explore the surgical options for treatment of cancerization relative to breast intraductal papilloma. Methods： Clinical data of 63 patients with intraductal papilloma were collected, arranged and analyzed during January 2000 to December 2004. Results： All the patients were performed surgical management. Two of the 63 patients were treated with quarter mastectomy; 12 of them were performed with quarter mastectomy plus axillary lymph node resection; 23 underwent modified radical mastectomy （Auchincloss）; 5 underwent modified radical mastectomy （Patey） and 1 was conducted with radical mastectomy. In a post-operative pathological report, 43 cases were cancerization of intraductal papilloma （carcinoma in situ） and 20 cases were cancerization of intraductal papilloma with early stage invasion. All the excised margins were negative and no axillary node was involved. Conclusion： Cancerization associated with breast intraductal papilloma can be successfully managed with local extended lumpectomy for the affected duct and /or the lump and resection of the axillary lymph node is not always necessary.

关 键 词：导管内乳头状瘤 癌变 治疗 

分 类 号：R737.9[医药卫生—肿瘤]