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肖晓岚1,左国杰2,孙颖2,曾艺君3.乳腺巨大恶性叶状肿瘤伴破溃及感染性休克1例诊治分析[J].中国医药科学,2019,(16):249-251        基金项目:
乳腺巨大恶性叶状肿瘤伴破溃及感染性休克1例诊治分析
Analysis on diagnosis and treatment of a cases of huge malignant phyllodes tumor of the breast accompanied by rupture and septic shock
  
DOI:
中文关键词:  乳腺;叶状肿瘤;感染性休克;病理结果;诊断;治疗
英文关键词:Breast;Phyllodes tumor;Septic shock;Pathologic results;Diagnosis;Treatment
作者单位
肖晓岚1,左国杰2,孙颖2,曾艺君3 1. 广州中医药大学深圳医院 (福田)病理科,广东深圳 518034;2. 广州中医药大学深圳医院 (福田)外科,广东深圳 518034;3. 广州中医药大学深圳医院 (福田)放射科,广东深圳 518034 
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中文摘要:
      [摘要] 乳腺叶状肿瘤临床十分罕见,以中年女性为好发人群,该疾病的发病机制目前尚未明确,可能与基因缺失、扩增、雌激素水平升高等因素有关。乳腺叶状肿瘤因临床缺乏典型的症状,误诊率较高,容易延误了患者的最佳治疗时机,影响患者的预后效果。临床将乳腺叶状肿瘤分为良性、交界性、恶性三种,治疗方法包括手术治疗、内分泌治疗,其中手术为该疾病的首选疗法。乳腺巨大恶性叶状肿瘤伴破溃及感染性休克加重了病情,对患者全身系统均造成极为严重的影响,危及了患者的生命安全,因此予以该疾病患者早期的诊断、积极的治疗,对患者安全具有重要的保障作用。本次研究中主要以 1 例乳腺巨大恶性叶状肿瘤伴破溃及感染性休克患者为例,对其诊断与治疗方法进行分析,旨在为今后临床乳腺叶状肿瘤疾病的诊治提供必要的参考。
英文摘要:
      [Abstract] Breast phyllodes tumors are very rare in clinical practice and middle-aged women are the population with high risk.The pathogenesis of this disease is not yet clear and it may be related to factors such as gene deletion,amplification and elevated estrogen levels.Due to the lack of typical symptoms in the breast phyllodes tumor,the rate of misdiagnosis is high,which easily delays the optimal treatment timing of patients and affects the prognosis of patients.Clinically,breast phyllodes tumors are divided into three types such as benign,borderline and malignant types.The treatment methods include surgical treatment and endocrine therapy,and surgery is the first choice for treatment of the disease.The huge malignant phyllodes tumor of the breast accompanied by rupture and septic shock aggravates the condition and has extremely serious effects on the systemic system of patients,which endangers the patients’life safety.Therefore,early diagnosis and active treatment for patients with this disease has an important guarantee for patient safety.In this study,the diagnosis and treatment of 1 case of huge malignant phyllodes tumor of the breast accompanied by rupture and septic shock were analyzed,so as to provide necessary reference for the clinical diagnosis and treatment of breast phyllodes tumor in the future.
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