山东医学高等专科学校学报

1966～1988年间收治7例乳腺肉瘤,其中纤维肉瘤5例,脂肪肉瘤及平滑肌肉瘤各1例。仅1例发生于男性。年龄25～72岁。临床均以无痛性可移动肿块为主,但无乳头回缩、皮肤水肿、卫星结节及血性乳头溢液等改变。2例可触及腋下肿大淋巴结,但未见转移瘤。5例行单纯乳房切除术。病理分级高及边界有浸润的病例预后差。治疗方法应行单纯乳房切除,胸肌受累应同时加以切除。因腋下淋巴结很少转移,故不应行包括腋窝淋巴在内的乳房根治术。

Of seven patients with sarcoma of the breast, who were diagnosed and treated during the period 1966 to 1988, there were 5 cases of fibrosarcoma, 1 liposarcoma and 1 leiomyosarcoma. Only 1 patient of them was male. Their ages ranged from 25 to 72 years. All of the cases almost presented with a painless mass which was movable, but there was no nipple retraction, hydroderma, satellite nodules and bloody nipple discharge, etc. Although the axillary lymph nodes were touched in 2 patients, no tumor metastasis was found. Simple mastectomy was performed on 5 patients. There was a poor prognosis in the patients with high pathological grade and infiltrating margin. It is suggested that the method of simple mastectomy should be adopted, and the pectoral muscles should be removed if they are involved. The rarity of axillary lymphatic metastases precludes the radical mastectomy including the dissection of axillary lymph nodes.