乳腺实体乳头状癌44例分析

Lili Liu, Dingbao Chen, Si-qi Wang, D. Shen
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引用次数: 0

摘要

目的探讨乳腺实性乳头状癌的临床病理特征。方法回顾性分析2013年7月至2017年北京大学人民医院收治的44例SPC患者的临床和组织病理学表现。结果所有患者均为女性,平均年龄66.5岁。17例为乳头溢液,27例为乳腺肿块,病理上肿瘤呈实性乳头状生长。肿瘤细胞呈多边形或椭圆形,有粘蛋白产生和神经内分泌分化。侵袭性癌22例,其中非特殊侵袭性癌15例。黏液癌7例。6例接受改良根治性乳房切除术和腋窝淋巴结切除术,其中两例腋窝淋巴结转移。38例接受保乳手术或乳房切除术。随访12~48个月,无局部复发或远处转移。结论乳腺实性乳头状癌是一种罕见的病理类型,多发于老年妇女。术后预后尚可。关键词:乳腺肿瘤;病理学,临床;免疫组织化学;预后
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Solid -papillary carcinoma of the breast, an analysis of 44 cases
Objective To investigate the clinicopathological features of solid papillary carcinoma of the breast. Methods A retrospective study was performed to analyze the clinical and histopathologic manifestations in 44 cases of SPC in Peking University People′s Hospital from 2013.7 to 2017. 10. Results All the patients were female and mean age was 66.5 years. 17 cases complained of nipple discharge and 27 cases had breast mass .Pathologically tumors were of solid-papillary growth pattern. The tumor cells were polygonal or oval with mucin production and neuroendocrine differentiation. 22 cases were associated with invasive carcinoma, among which 15 cases were non-special invasive carcinomas. 7 cases were mucinous carcinoma.Six cases underwent modified radical mastectomy and axillary lymph nodes excision with two metastasis in an axillary lymph node.38 cases underwent breast conserving surgery or mastectomy. There were no local recurrence or distant metastasis during the follow-up periods of 12-48 months. Conclusion Solid papillary carcinoma of breast is a rare pathology type with predilection in older women. The postoperative prognosis is fair. Key words: Breast neoplasms; Pathology, clinical; Immunohistochemistry; Prognosis
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