乳腺良性叶状肿瘤复发相关危险因素及麦默通手术的可行性  

Risk factors associated with recurrence of benign breast phyllodes tumors and the feasibility of Mammotome operation

作　　者：朱婧[1] 朱大江[1] 范旭龙[1] 平静[2] 

机构地区：[1]佛山市妇幼保健院乳腺疾病防治中心,广东佛山528000 [2]佛山市妇幼保健院病理科,广东佛山528000

出　　处：《分子影像学杂志》2017年第4期449-452,共4页Journal of Molecular Imaging

摘　　要：目的探讨乳腺良性叶状肿瘤术后复发相关危险因素及麦默通手术的可行性。方法 2007年1月~2016年5月,佛山市妇幼保健院收治乳腺良性叶状肿瘤113例,开放手术扩大切除58例,麦默通旋切手术活检55例,对患者临床及病理资料进行回顾性研究。结果开放手术治疗与麦默通微创旋切治疗组间复发率无统计学差异(P>0.05),发病年龄分别为38.8±8.1岁与34.9±8.1岁,肿瘤直径分别为3.6±1.3 cm与2.0±0.7 cm,差异均有统计学意义(P<0.05)。复发组与无复发组间肿瘤大小及核分裂有统计学意义(P<0.05)。但以肿瘤大小分组后,肿瘤<2.5 cm组术式选择与复发无统计学意义(P=0.67)。结论乳腺良性叶状肿瘤患者术后复发与肿瘤病理特征有关,大小<2.5 cm的叶状肿瘤通过麦默通微创旋切治疗是安全可行的。Objective To explore the risk factors associated with recurrence of benign breast phyllodes tumors and the feasibility of Mammotome operation. Methods The clinic and pathological data were retrospectivly analyzed in 113 cases with benign PT who received surgery in the Maternal and Children Healthcare Hospital of Foshan from Jan 2007 to May 2016. There were 58 cases of open surgery and 55 cases of Mammotome surgery. Results The recurrence rate in two groups were not significantly different. The differences of age and tumor size in 2 group were significant.The average age were 38.8±8.1 and 34.9±8.1 years. The average tumor diameter were 3.6±1.3 cm and 2.0±0.7 cm. The differences of tumor size and mitosis in recurrence group and no recurrence group were significant. However, difference of recurrence was not significant between different surgery choice in the small tumor group （P〈0.67）. Conclusion Recurrence of PT is related to pathological features. Mammotome treatment is safe and feasible when tumor size 〈2.5 cm.

关 键 词：乳腺良性叶状肿瘤 临床特点 复发因素 麦默通 

分 类 号：R737.9[医药卫生—肿瘤]