瞭解乳腺纖維上皮瘤：手術與觀察的選擇-外科

粗針切片？

您好，醫師。
在上個月底，做乳房超音波時，發現左邊乳房4點鐘位置有一顆大約1.2cm葫蘆形的硬塊(mildly irregular well circumscribled hypoechoic lesion, the nature is uncertain but is probably benign, no significant increase in vascularity is noted on doppler ultrasound)，當時報告建議要抽組織檢查，由於我在9月15日做了粗針切片，報告如下:sections (6 levels) show 3 cores of benign breast tissue harbouring a fibroepithelial lesion exhibiting a predominantly intracanalicular pattern. the duct-like structures are lined by layer of flattened to columnar luminal cells supported by myoepithelial cells. nuclei are bland looking. there is moderate amount of dense collagenous fibrous stroma which is hypocellular. hyalinization of collagen is noted. the spindle-shaped stromal cells have bland nuclei. mitosis is lacking. a few pseudofronds are noted. however, typical leaf-like structure commonly associated with phyllodes tumour are not seen. there is no specific infection or malignancy.trucut biopsy of left breast lesion at 4 o clock . fibroepithelial lesion in keeping with a sclerosed fibroadenoma of breast.我的主治醫師說是纖維上皮瘤，雖然有機會是葉狀瘤，但報告顯示傾向是硬化性纖維瘤，可以半年後回去追蹤，暫時不需要做手術。
可是，醫師，1。
什麼是硬化性纖維瘤(sclerosed fibroadenoma)? 這跟硬化性腺病(sclerosing adenosis) 是同一樣東西嗎? (聽說硬化性腺是必須要動手術的，因為擔心附近組織會有原位癌,)2。
可是我的腫塊是葫蘆形狀的，不太規則，如果不動手術拿掉的話，真的安全嗎?3。
一般要動手術的話，距離抽針的安全期是多長時間? 就是在抽針以後多長時間內，就必須要動手術呢?4。
假如現在我決定要做手術，可是距離上次抽針已經過了好幾個禮拜，這有沒有問題呢?5。
還有，手術過後一般要多長時間才可以恢復上班呢?不好意思，醫師，問題太多了。
可是，我又很擔心。
請您為我解答一下，謝謝您!!