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目的 探讨乳腺肉瘤临床最佳治疗方案。方法 对我院 1995年 1月至 1999年 10月治疗的 6例乳腺肉瘤分析。结果 发病平均年龄为 5 2岁。 2例行细针穿刺涂片 ,其中 1例为阳性。 5例行快速冰冻切片确诊。 4例为乳腺纤维肉瘤 ,2例为乳腺恶性肿瘤纤维组织细胞瘤。 1例行乳腺单纯切除 ,5例行乳腺改良型根治术。总共切除腋下淋巴结 2 0个 ,均未发现转移。 6例病人的ER、PR均为阴性。结论 乳腺肉瘤首选手术治疗 ,以乳腺单纯切除为宜 ,没必要常规行腋窝淋巴结清扫。术后辅助放疗、化疗的效果不肯定。内分泌治疗意义不大。
Objective To investigate the best clinical treatment of breast sarcoma. Methods Six cases of breast sarcoma treated in our hospital from January 1995 to October 1999 were analyzed. Results The average age of onset was 52 years old. 2 cases of fine needle aspiration smear, 1 case was positive. 5 cases of rapid frozen section diagnosis. 4 cases of breast fibrosarcoma, 2 cases of breast cancer fibrous histiocytoma. A routine breast excision, 5 cases of modified radical mastectomy. A total of 20 axillary lymph nodes were excised, and no metastasis was found. 6 cases of patients with ER, PR were negative. Conclusion The preferred surgical treatment of breast sarcoma, simple excision of the breast is appropriate, no need to routine axillary lymph node dissection. Postoperative adjuvant radiotherapy, the effect of chemotherapy is not sure. Endocrine therapy is of little significance.