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Comparison of therapeutic effect between extensive lumpectomy and local lumpectomy for phyllodes tumor of breast |
HUANG He-qing ZHONG Mu-yi▲ |
Department of Breast Surgery,Dongguan People′s Hospital,Guangdong Province,Dongguan 523059,China |
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Abstract Objective To explore the effect between extensive lumpectomy and local lumpectomy for phyllodes tumor of breast.Methods A total of 100 patients with phyllodes tumor of breast admitted to our hospital from January 2011 to May 2013 were selected as the research objects.According to different surgical methods,they were divided into observation group and control group,50 cases in each group.Patients in the observation group were treated with extensive lumpectomy,while patients in the control group were treated with local lumpectomy.The limb function (flexion,extension,internal rotation,abduction,external rotation,touch height) of the affected side 1 year after operation,disease recurrence rate and survival rate 5 years after operation were compared between the two groups.Results There were no significant difference in muscle strength,flexion,extension and pronation between the observation group and the control group (P>0.05).The abduction degree,abduction degree and touch height of the affected limb in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05).The disease recurrence rate in the observation group (12.0%) was compared with that in the control group (14.0%) at 5 years after operation,and the difference was not statistically significant (P>0.05).The 5-year survival rate of the observation group(12.0%) was not statistically significant compared with that of the control group (10.0%) (P>0.05).ConclusionIn the treatment of breast phyllodes tumor,extensive lumpectomy has a better prognosis than local lumpectomy,which is worthy of clinical application.
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[1] |
黄杰文,李璐,丘冬琴.乳腺分叶状肿瘤的临床病理特点及治疗体会[J].外科研究与新技术,2016,5(2):79-81.
|
[2] |
余宗林.乳腺良、恶性叶状肿瘤MRI 表现及病理特征分析[J].中国急救医学,2016,36(Z2):138-139.
|
[3] |
宋雨.乳腺分叶状肿瘤中胶原纤维形态特点及相关临床病理学研究[D].济南:山东大学,2017.
|
[4] |
宋雨,马榕.乳腺分叶状肿瘤诊断中存在的问题[J].国际外科学杂志,2017,44(3):157-159.
|
[5] |
姚建莉,任静,曹英,等.乳腺叶状肿瘤的钼靶X 线及临床病理分析[J].四川医学,2018,39(2):192-195.
|
[6] |
Tavassoli FA,Devilee P.World Health Organization Classification of Tumours.Pathology and genetics: tumours of the breast and female genital organs[M].Lyon:IARC Press,2003.
|
[7] |
Campagnaro EL,Wood side KJ,Xiao SY,et al.Cystosarcoma phyllodes (phyllodes tumor) of the male breast[J].Surgery,2003,133(6):689-691.
|
[8] |
周晓倩,郑淼,金慧,等.11 例乳腺分叶状肿瘤临床分析[J].中华临床医师杂志(电子版),2015,8(16):3143-3147.
|
[9] |
张振.乳腺局部肿块切除术与广泛肿块切除术治疗乳腺分叶状肿瘤的效果分析[J].河南医学研究,2017,26(21):3936-3937.
|
[10] |
曾伟华.广泛切除术与局部切除术治疗乳腺分叶状肿瘤的临床分析[J].中国医药科学,2017,7(12):184-186.
|
[11] |
薛姗姗,李宁,盛薇,等.乳腺叶状肿瘤的超声图像特征分析[J].中国医药导报,2018,15(16):110-113.
|
[12] |
吴文飞,潘建华,丁国崇,等.B 超定位下Encor 微创旋切术在乳腺触诊阴性病灶中的诊疗价值[J].福建医药杂志,2017,39(3):128-130.
|
[13] |
Taira N,Takabatake D,Aogi K,et al.Phyllodes tumor of the breast:stromal overgrowth and histological classification are useful prognosis-predictive factors for local recurrence in patients with a positive surgical margin[J].Jpn J Clin Oncol,2007,37(10):730-736.
|
[14] |
吴旦平,张红丹,汪波,等.数字化乳腺钼靶引导下三维立体导丝定位精准治疗乳腺触诊阴性病变的应用价值[J].肿瘤药学,2018,8(1):98-100,107
|
[15] |
姜红,董兰侠,马敏,等.两种切除术治疗乳腺分叶状肿瘤的临床效果比较研究[J].湖南师范大学学报(医学版),2015,15(3):128-130.
|
[16] |
李娟娟,莫春生,梁丽春,等.广泛切除和局部肿块切除术治疗乳腺分叶状肿瘤的临床效果比较[J].河南外科学杂志,2016,22(5):4-6.
|
[17] |
Meneses A,Mohar A,Dela Garza-Salazar J,et al.Prognostic factors on 45 cases of phyllodes tumors[J].J Exp Clin Cancer Res,2000,19(1):69-73.
|
|
|
|