恶性细胞瘤:成像特征与基因病理相关性
Jane S Lee1, Jodie Chang2, Ian S Hagemann1
1Washington University School of Medicine, Department of Pathology and Immunology, St. Louis, MO, USA.
Journal of breast imaging
|March 1, 2024
概括
乳腺瘤 (PT) 是一种罕见的乳腺病变. 恶性PT通常以大,不规则的质量呈现,需要手术切除和密切监测局部复发,尽管生存率仍然很高.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 乳腺瘤 (PT) 是一种罕见的纤维皮质乳腺病变.
- 它们根据病理学被分为良性,边缘性或恶性.
- 恶性PT通常呈现为快速扩大的,可触摸的质量.
研究的目的:
- 审查恶性Phyllodes瘤的临床表现,成像,组织病理学和管理.
- 突出恶性PT的诊断挑战和治疗策略.
- 为提供恶性PT的预后和生存率的概述.
主要方法:
- 对临床表现和成像发现的审查.
- 组织病理学分析用于分类和差异诊断.
- 手术管理和辅助治疗方面的考虑.
主要成果:
- 恶性PT往往比良性PT更大,更不规则,往往缺乏有限的边缘.
- 区分恶性PT与瘤和转移性癌症对于预后至关重要.
- 广泛的局部切除是主要的治疗方法;辅助疗法具有有限的作用.
- 局部复发发生在近三分之一的恶性PT病例中.
- 远程转移是罕见的,五年生存率接近80%.
结论:
- 恶性Phyllodes瘤需要准确的诊断和手术管理.
- 由于局部复发的风险,需要密切跟踪.
- 尽管面临挑战,恶性PT的整体预后相对有利.
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