男性乳腺肿瘤的诊断与治疗

Diagnosis and Treatment of Male Breast Tumors

摘要: 男性乳腺肿瘤少见，文献报道较少。本文收集了2008年1月至2017年12月在浙江省温州医科大学第三附属医院收治的14例男性乳腺肿瘤病例。对患者的诊断、治疗和随访进行总结和分析。男性乳腺肿瘤14例，全部手术切除，术后病理诊断为良性肿瘤11例，恶性肿瘤3例。良性肿瘤预后良好，术后无复发。1例恶性肿瘤发生多脏器转移，2年后死亡。手术治疗是男性乳腺肿瘤的首选治疗方法。良性肿瘤以局部手术切除为主，恶性肿瘤的主要治疗方法是根治性切除。术后化疗或放疗可提高患者的生存率。

Abstract: Male breast tumors are rare, and less reported in literature. In this paper, 14 cases of male breast tumors were collected from the Third Affiliated Hospital of Wenzhou Medical University, Zhejiang province from January 2008 to December 2017. The diagnosis, treatment and follow-up of the pa-tients were summarized and analyzed. 14 cases of male breast tumors were all male patients, all were surgically removed, and 11 cases of benign tumors and 3 cases of malignant tumors were di-agnosed pathologically after operation. Benign tumors had good prognosis and no recurrence after operation. 1 patient with malignant tumor developed multiple organ metastases and died 2 years after operation. Surgical treatment is the first choice for the treatment of male breast tumors. Local resection is the main treatment for benign tumors. Radical resection is the main treatment for malignant tumors. Chemotherapy or radiotherapy after operation can improve the survival rate of the patients.