【摘要】 目的 :探讨副乳腺肿瘤的发病特点 ,诊断和治疗选择。方法 :对 1980年至 1999年经治的 16例副乳腺肿瘤的临床和病理资料进行回顾性分析。结果 :16例中 ,副乳纤维腺瘤 5例 ,副乳导管内乳头状瘤 2例 ,副乳癌 9例 (其中 1例为腹股沟处 )。分别予局部肿瘤切除和根治性切除 ,且 9例副乳癌病例术后均辅以化疗和放疗。 13例(81 3% )术后随访 1～ 10年 ,随访期间 3例副乳癌分别于术后 2年、2 5年和 4年因出现广泛转移而死亡 ;1例副乳腺癌术后 2年出现局部复发而再次手术 ,仍生存良好 (已存活 3年 ) ;其余各例随访中恢复满意。结论 :副乳腺可发生各种乳房良、恶性肿瘤的可能 ,其临床表现均与乳腺原发同名肿瘤相似。手术治疗是其首选治疗方法 ,良性副乳腺肿瘤应行包括全部副乳腺组织在内的局部切除术 ,而副乳癌的治疗则以根治性切除为主更多还原

【Abstract】 Purpose:To investigate the clinical characteristics, diagnosis and treatment of accessory breast tumors.Methods:Clinical and pathological data of 16 cases of accessory breast tumors were analyzed retrospectively. Results:There were 5 cases of accessory breast fibroadenoma, 2 cases of intraductal papilloma, 9 cases of accessory breast carcinoma. Local mass resection and radical resection were carried out respectively. All these patients had post operative chemotherapy and radiotherapy. 13 cases (81.3%0 were followed up for 1—10 year. As to results, 3 cases died of metastasis in 2,2.5 and 4 years respectively after operation;one case, reoperated because of local recurrence, still survives (over 3 years):and the others recovered well.Conclusions:It is possible for benign or malignant tumor to occur in the accessory breast,and the manifestation of the accessory breast tumors is similar to that of the primary breast tumor. Operation is the first choice for all treatment benign tumor with local mass resection including the whole accessory breast while accessory breast carcinoma should be treated by radical dissection.更多还原