【摘要】 目的:探讨乳腺肉瘤的临床特点及最佳治疗方案。方法:对1985年6月至2000年9月收治的34例乳腺各种肉瘤的临床资料进行了回顾性分析。结果:34例患者中叶状囊肉瘤18例,恶性淋巴瘤4例,癌肉瘤4例,纤维肉瘤2例,恶性纤维组织细胞瘤2例,脂肪肉瘤2例,平滑肌肉瘤1例,恶性神经鞘瘤1例。随诊1个月～15年,5年生存率为66.70%(12/18),10年生存率为62.50%(5/8)。结论:对疑有乳腺肉瘤可能的患者宜常规行术中快速病理确诊;对乳腺叶状囊肉瘤等较少发生淋巴转移者如瘤体较大宜行全乳腺切除,瘤体较小者可行保留乳房手术;对癌肉瘤、恶性淋巴瘤等易发生腋窝淋巴结转移者宜行乳腺癌改良根治术。更多还原

【Abstract】 Objective:To explore the clinical characteristics of the breast sarcomas and its best therapeutic method.Methods:The data of34cases treated in our hospital from1985to September,2000were analyzed retrospectively.Among them,cystosarcoma phyllodes18cases,ma -lignant lymphoma 4cases,carcinosarcoma 4,fibrosarcoma 2,malignant fibrous histocytoma 2,li-posarcoma 2,leiomyosarcoma 1,malignant neurinoma 1.Results:The follow--up period was from1month to15years.The survive rate of five-year was66.7%(12/18).The survive rate of ten-year was62.5%(5/8).Conclusion:For the patients whose tumor was doubtful of breast sarcoma,a routine fast pathological examination should be done.For patients with cystosarcoma phyllodes that rarely had metastasis of lymph nodes in the axilla,a simple mastectomy is enough.If the tumor was less than5cm,the conservative surgery can be performed.But,for carcinosarco-ma and malignant lymphoma of breast that easily had metastasis of the axillary lymph nodes,the modificatory radical mastectomy should be performed.更多还原