Bilateral Multiple Phyllodes Tumors of the Breast, "Giant" on One Side: Report of a Case

巨大的雙側乳房多發性葉狀肉瘤：病例報告

涂啟文(Chi-Wen Tu) ； 江慶鐘(Ching-Chung Chiang) ； 蘇振賢(Chen-Hsien Su)

《Formosan Journal of Surgery》 41卷1期 (2008/02) Pp. 27-31

https://doi.org/10.29833/FJS.200802.0005

摘要

葉狀肉瘤是罕見的乳房纖維上皮腫瘤，它的發生率佔乳房腫瘤不到百分之一。大部分的葉狀肉瘤是以生長快速但臨床良性表徵的無痛性腫塊來作為臨床表現。葉狀肉瘤的大小差異很大，文獻上從1公分至40公分都有被報導。本文報告一位38歲的女性病患，雙側乳房同時出現多發性的葉狀肉瘤，其中左側的葉狀肉瘤相當巨大，因而造成雙側乳房外觀明顯的不對稱及左側乳房結構的破壞。本案例接受左側全乳房切除及右側乳房腫塊切除手術後，於門診追蹤2年內並未發現腫瘤復發或轉移。本文同時回顧文獻上有關乳房葉狀肉瘤的臨床病理特徵及治療方式。

並列摘要

The phyllodes tumor is a rare fibroepithelial breast neoplasm, which mostly presents as a rapidly growing but clinically benign breast lump. The size of such a tumor is variable, ranging from 1 to 41cm. We report a 38-year-old female patient with synchronous bilateral multifocal phyllodes tumors, with a giant left breast tumor large (28×23.5×18cm) as to cause obvious asymmetry of breasts. The patient was successfully treated with bilated mastectomy and the patient remained free of disease during a two-year follow-up. The literature on the clinicopathological features and management of this rare tumor is also reviewed.

並列關鍵字

giant phyllodes tumor ； synchronous ； breast