临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1337-1338.doi: 10.3969/j.issn.1005-6483.20241545

• 临床病例报道 • 上一篇    下一篇

乳腺交界性叶状肿瘤一例

田景灏 贾建东 张萌 王泽 曾一   

  1. 300193 天津,天津中医药大学第一附属医院 国家中医针灸临床医学研究中心乳腺外科
  • 出版日期:2025-12-20 发布日期:2025-12-20
  • 通讯作者: 曾一,Email:471018561@qq.com

A case report of borderline phyllodes tumor of the breast

TIAN Jinghao,JIA Jiandong,ZHANG Meng,WANG Ze,ZENG Yi   

  1. Department of Breast Surgery,Tianjin University of Traditional Chinese Medicine First Teaching Hospital,National Clinical Research Center for Acupuncture and Moxibustion,Tianjin 300193,China
  • Online:2026-01-22 Published:2025-12-20

摘要: 发现右乳肿块8年,1年内迅速增大至15cm×13cm。影像学检查提示BI-RADS 4B类囊实性团块,术后病理检查确诊为交界性叶状肿瘤(14cm×13cm×8cm),免疫组化检查显示ER/PR阴性、Ki-67 15%。叶状肿瘤占乳腺肿瘤<1%,术前鉴别诊断困难,空芯针活检优于细针穿刺。手术切除是主要治疗方式,但切缘宽度仍存争议。对快速增大的乳腺肿块需警惕叶状肿瘤可能,建议进行临床-影像-病理三重评估,提高诊断准确性。

关键词: 乳腺; 交界性叶状肿瘤; 病例报告

Abstract: The patient had an 8-year history of breast mass showing rapid growth to 15cm×13cm within 1 year.Imaging suggested BI-RADS 4B cystic-solid mass,with postoperative pathology confirming borderline phyllodes tumor(PT) (14cm×13cm×8cm) showing ER/PR(-) and Ki-67 15%.Literature review indicates PT accounts for <1% of breast tumors,with core needle biopsy outperforming fine-needle aspiration.Surgical excision remains primary treatment,yet optimal margin width is debated .This case highlights the necessity of considering PT for rapidly growing breast masses and advocates triple assessment for accurate diagnosis.

Key words: breast; borderline phyllodes tumor; case report

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