原发性乳腺双向型滑膜肉瘤多学科讨论

王华; 张著学; 鲁亮; 魏娜; 王楠竹; 侯净; 倪青

doi:10.3969/j.issn.1000-8179.2017.21.694

原发性乳腺双向型滑膜肉瘤多学科讨论

Integration of multiple disciplines on primary breast bidirectional synovial sarcoma

摘要

摘要:
目的探讨原发性乳腺双向型滑膜肉瘤（bidirectional synovial sarcoma，BSS）多学科协作的诊治流程。
方法回顾性分析2017年5月贵州省人民医院收治的1例原发性乳腺BSS患者的诊疗过程。患者经术前充分讨论与准备，顺利完成右乳房巨大肿瘤姑息性切除、部分胸大肌切除及胸壁组织皮瓣修复整形手术。
结果患者机体瘤负荷明显减轻，生存质量提高，为进一步延长总生存期提供治疗条件。
结论原发性乳腺BSS早诊断、早治疗可使预后相对较好，患者的就诊意识对该病的预后具有影响。

Abstract:
Objective To explore the diagnosis and treatment process of integrated multiple disciplines on primary bidirectional synovial sarcoma in breasts.
Methods A patient with breast sarcoma was diagnosed and treated with body satisfaction scale (BSS) on May 2017 in the Department of Breast Surgery of Guizhou Provincial People's Hospital. Procedures were fully discussed. The patient was prepared for the surgery and was successfully treated by palliative resection (in the right breast tumor) and partial pectoralis major muscle resection and reconstruction (in the chest wall flap).
Results Patient's condition and quality of life significantly improved. Extended treatment was provided for continuous survival.
Conclusion Prognosis of primary bidirectional synovial sarcoma of the breasts can be improved by early diagnosis and treatment. Patient's willingness of medical consultation could affect the ontcome.

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