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目的探讨乳腺血管肉瘤的诊断和治疗方法。方法结合文献分析一例26岁乳腺血管肉瘤病人的诊治经过。结果该病主要表现为受累乳腺内生长迅速的无痛性肿块,多见于右乳外上象限。病人行右乳癌改良根治术,随访8月健在。结论乳腺血管肉瘤术前诊断困难,鉴别诊断依赖于病变组织切除活检。治疗以单纯乳房切除为佳,常规辅以化疗。
Objective To investigate the diagnosis and treatment of angiosarcoma of the breast. Methods A literature review of a 26-year-old patient with angiosarcoma of the breast was performed. Results The disease mainly manifested as painless masses that developed rapidly in the affected mammary glands, and were mostly found in the right breast outer quadrant. The patient underwent modified radical mastectomy and followed up for 8 months. Conclusion The preoperative diagnosis of angiosarcoma of the breast is difficult. The differential diagnosis depends on the biopsy of the lesion. Treatment with simple breast resection is preferred, supplemented by conventional chemotherapy.