在乳头节省乳房切除术后,边缘性乳腺病的晚发乳头复发
Benjamin Alfonso Thorpe Plaza1, Ana Isabel Calvache González2, Beatriz Vidal Herrador2
1General Surgery, Universidade de Santiago de Compostela - Campus de Santiago, Santiago de Compostela, Spain benjamin.thorpe@hotmail.com.
BMJ case reports
|March 10, 2026
概括
乳腺瘤 (PTs) 是一种罕见的乳腺瘤. 这一案例突显了乳头节省乳房切除术后17年乳头的边缘PT复发,强调了长期监测.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 乳房手术 乳房手术
背景情况:
- 乳腺瘤 (PTs) 是一种罕见的纤维皮质瘤,占乳腺原发性瘤的不到1%.
- 在PT中,复发和转移率受组织学亚型的影响.
- 乳头节省乳房切除术后乳头的卷入是一个不常见但至关重要的考虑因素.
研究的目的:
- 报告一个罕见的边缘性Phyllodes瘤复发病例.
- 讨论节省乳头的乳房切除术和PT管理的长期影响.
- 突出乳腺瘤复发的警随访的重要性.
主要方法:
- 一个有乳腺瘤病史的患者的病例报告.
- 对手术史的审查,包括乳头节省乳房切除术.
- 复发瘤组织的组织病理学分析.
主要成果:
- 在初始的乳头节省乳房切除术17年后,乳头中出现了边缘性Phyllodes瘤的复发.
- 患者在复发之前实现了205个月的无病生存期.
- 对复发瘤进行了局部切除.
结论:
- 由于局部复发风险很高,对Phyllodes瘤的外科边缘的管理需要仔细考虑.
- 在可行的情况下,最好进行乳房保护性手术,而重建是不适合瘤的选择.
- 乳头复发,虽然在乳头节省乳房切除术后很少发生,但需要持续监测患者.
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