The Clinico-pathological Features of Malignant Breast Lymphoma_West China Medical Journal

Authors：

LIU Xuejuan

Department of Thyroid, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

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Keywords：

乳腺; 惡性淋巴瘤; 臨床分析

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【摘要】　目的　探討乳腺惡性淋巴瘤的臨床病理特征、治療方式及其與預后關系。　方法　 1980年1月-2007年12月對收治的21例乳腺惡性淋巴瘤患者的臨床病理特點、診斷和治療方法進行回顧性分析。　結果　 21例乳腺惡性淋巴瘤患者均為女性，中位年齡47歲；其中原發性乳腺惡性淋巴瘤18例，繼發性惡性淋巴瘤3例。原發性乳腺惡性淋巴瘤均為非霍奇金淋巴瘤，B細胞來源為主，大多為術后診斷，治療均采用手術+化學療法。　結論　乳腺惡性淋巴瘤治療應強調手術，化學療法和放射治療的綜合治療。
【Abstract】　Objective　 To study the clinico-pathological features and treatment modality of malignant breast lymphoma, and their relationships with the prognosis of the disease.　Methods　 The clinico-pathological features, diagnosis and treatment methods of 21 cases of malignant breast lymphoma diagnosed between January 1980 and December 2007 were analyzed retrospectively and related domestic and overseas literature was reviewed.　Results　 Among the 21 female patients, 18 had primary breast lymphoma (PBL), 3 had secondary breast lymphoma. All cases of PBL were non-Hodgkin’s lymphoma with mainly B cells as the origin. The median age of the patients was 46.5 years old. Most of the cases were diagnosed postoperatively and all patients were treated by operation combined with chemotherapy. Related literature reviewing showed that clinical staging and treatment modality were important factors of prognosis.　Conclusion　 In treating malignant breast lymphoma, operation and chemoradiotherapy should be combined together to get a better result.

Citation： LIU Xuejuan. The Clinico-pathological Features of Malignant Breast Lymphoma. West China Medical Journal, 2011, 26(2): 207-209. doi: Copy

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1. 　朱元喜. 20例乳腺原發性惡性淋巴瘤臨床病理及預后分析[J]. 中國腫瘤臨床, 2008, 28(7): 504-507.
2. 　吳小紅. 乳腺原發性惡性淋巴瘤15例臨床分析[J]. 癌, 1999, 18(3): 311-313.
3. 　Duncan VE, Reddy VV, Jhala NC, et al. Non-Hodgkin’s lymphoma of the breast: a review of 18 primary and secondary cases[J]. Ann Diagn Pathol, 2006, 10(3): 144-148.
4. 　胡春宏. 原發性乳腺淋巴瘤(15例報告及文獻復習)J].中國腫瘤臨床, 2001, 28(7): 501-503.
5. 　Aviles A, Delgado S, Nambo MJ, et al. Primary breast lymphoma: results of a controlled clinical trial[J]. Oncology, 2005, 69(3): 256-260.
6. 　Jeanneret-Sozzi W, Taghian A, Epelbaum R, et al. Primary breast lymphoma: patient profile, outcome and prognostic factors. A multicentre rare cancer network study[J]. BMC Cancer, 2008, 1(8): 86.
7. 　Wong WW, Schild SE, Halyard MY, et al. Primary non-Hodgkin lymphoma of the breast: the mayo clinic experience[J]. J Surg Oncol, 2002, 80(1): 19-25.
8. 　Jennings WC, Baker RS, Murray SS, et al. Primary breast lymphoma: the role of mastectomy and the importance of lymph node status[J]. Ann Surg, 2007, 245(5): 784-789.
9. 　胡巧英. 乳腺原發性惡性淋巴瘤[J]. J Pract Oncol, 2001, 16(3): 194-195.
10. 　Abbondanzo SL, Seidman DJ, Lefkowweits M, et al. Primary diffuse large B-cell lymphoma of clinicopathologic study of 31 cases[J]. Pathol Res Pract, 1996, 192(1): 37-43.
11. 　Ha CS, Dubey P, Goyal LK, et al.Localized primary non-Hodgkin’s lymphoma of the breast[J].Am J Clin Oncol, 1998, 21(4): 376-380.
12. 　王黎明. 原發性乳腺惡性淋巴瘤21例臨床分析[J]. 實用癌癥雜志, 2004, 7(4): 401-405.

West China Medical Journal

The Clinico-pathological Features of Malignant Breast Lymphoma

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