; THE BREAST * Salvadori et a/. Similar to fibroadenoma, phyllodes tumor is a biphasic tumor arising from the fibrous and glandular tissue of the breast. The aim of this study was to investigate patient characteristics, imaging characteristic findings, surgical treatment and outcome of phyllodes tumor. Malignant degeneration is seen in 5-25% 4 (malignant phyllodes tumor). The prognosis of phyllodes tumors is favorable, with local recurrence occurring in approximately 15% of patients overall and distant recurrence in approximately 5% to 10% overall. The recurrence rate after excision of benign phyllodes tumours, however, was surprisingly low (112 recurrences out of 1052 cases of benign phyllodes tumours 11% (range 0–43%)) despite a high percentage of margin involvement for benign phyllodes tumours (7.6–43.7%). Phyllodes Tumor (Cystosarcoma Phyllodes) Treatment & Management 1 Tumor Excision and Mastectomy. Complete excision, with accurate histologic examination... 2 Complications. 3 Long-Term Monitoring. Although specific guidelines regarding follow-up care for phyllodes tumors are... Request An Appointment. Phyllodes tumours are uncommon fibroepithelial breast tumours that are capable of a wide range of biological behaviours, from benign to malignant [1]. Exceptionally rare case reports exist of fibroadenomas in the male breast, however these cases may be associated with antiandrogen treatment. Treatment is usually with surgical excision. I was diagnosed with a malignant phyllodes tumor on 8/1/10. For benign phyllodes tumors, excision of the tumor … Borderline Phyllodes Tumor of Breast is treated through a surgical excision, per the healthcare provider’s recommendation. No. For benign conditions life expectancy is good and not affected all rumours can recur and this is where it is important to get checked out ASAP I was diagnozed with fibroadenoma, but it appeared to be a benign PT (2 cm., surgery in March). These tumors are categorized as benign, borderline, or malignant based on a combination of histologic features. 12 SURGICAL TREATMENT OF TUMOR! The recurrence rate in studies taking a 1 mm margin was 5.7% (12/211). A phyllodes tumour of the breast converting to fibrosarcoma of the breast is a rare entity. Phyllodes Tumor. The difficulty in distinguishing between phyllodes tumors and benign fibroadenoma may lead to misdiagnosis. This rating determines treatment. For more information or to schedule an appointment with a breast cancer specialist at Main Line Health, call 484.476.3333 or request an appointment online. The margins of your tumors only shows fibrocystic changes and no phylloides tumor so I guess this is the reason why your doctors are already confident with the surgical procedure done already. Clinically most Phyllodes tumors, benign or malignant, present as a rounded nodule or mass which is mobile, usually painless, and with rapid growth. Fast-growing lump (reaches about 2-3cm in a matter of weeks) An ulcer on the breast in advanced Phyllodes tumors … Less than 5% of these tumors spread to other areas, such as the lungs, or come back (recur) in distant areas after treatment. Rev Chil Obstet Ginecol. Benign Phyllodes Tumors. They may be considered benign, borderline, or malignant depending on histologic features including stromal cellularity, infiltration at the tumor's edge, and mitotic activity. Bulging under the skin. of Datients 510 1 1-20 21-30 31-40 4 1-50 5 1-60 61-70 > 70 1 2 1q * 33 20 4 1 _____~~~ ~ * Sixty-seven patients (82.7%) between 31 and 60 years of age. Your doctor will recommend that … Background: Phyllodes tumor is rare accounting for <1% of all breast tumors.It is classified as benign, borderline, or malignant.The lymph node is involved rarely, and the most common metastasis path is through hematogenous channels mainly to the lung the pleura and the bone. In benign phyllodes tumors, the stroma is usually more cellular than in fibroadenomas. Benign tumours are non-cancerous and are cured by surgery alone. They may be considered benign, borderline, or malignant depending on histologic features including stromal cellularity, infiltration at the tumor's edge, and mitotic activity. It may recur following resection. Treatment of a Phyllodes tumor The only way to treat a Phyllodes tumor effectively is to completely remove the tumor, taking into account free margins where possible). This variety comprises 60% to 75% of all phyllodes tumors. Phyllodes tumours (PTs) of the breast are uncommon fibroepithelial neoplasms, comprising 0.3 – 1.0% of all primary breast malignancies in Western countries, but accounting for a higher proportion of primary breast tumours in Asian countries. Phyllodes tumour is a rare type of breast tumour. Phyllodes tumors are a fibroepithelial tumor composed of an epithelial and a cellular stromal component. Numerous clinical studies recommendwide excision of the tumor with a 10 mm clear mar-gin (8,11,20,28,30,36–38), or mastectomy if breastconservation surgery is not possible. Some of the symptoms of Phyllodes tumors of the breast, whether malignant, benign or borderline include: Breast lump that is smooth and hard to the touch. Enucleation is to be proscribed. Breast-conserving surgery (lumpectomy or partial mastectomy), Tumors rarely involve the nipple-areola complex or ulcerate to the skin. Phyllodes Tumor CLINICAL PRESENTATION WORKUP FINDINGS TREATMENT aExcisional biopsy includes complete mass removal, but without the intent of obtaining surgical margins. The spindle-cell stromal nuclei are uniform, and mitoses are rare, generally less than 5 per 10 high-power fields. They occur infrequently but most often in younger women in comparison to typical epithelial-based breast cancers. These subtypes are able to … In some cases it might be difficult for a pathologist looking at a needle biopsy to tell for sure if the growth (tumor) is a fibroadenoma (a common benign tumor) or a phyllodes tumor. Regular mammograms and other imaging tests may be needed as benign phyllodes tumors can come back (recur) . Both capillary and cavernous variants can be seen. A Phyllodes tumor, which derives from the Greek word ‘phullon‘ or leaf, is a rare breast tumor usually effecting pre-menopausal women in their 40’s. In the male breast, fibroepithelial tumors are very rare, and are mostly phyllodes tumors. A benign phyllodes tumor treated in this way is not associated with any future increased risk of breast cancer. There are two main types of breast surgery: 1. breast-conserving surgery, also known as a wide local excision or lumpectomy – removal of the tumour with a wide margin (border) of normal breast tissue around it 2. mastectomy – … Phyllodes tumors peak is between 30 to 40 years of age, but can occur at any age [1-3]. Both benign and malignant phyllodes tumors have a tendency to recur if not widely excised. Shelling out oftumors is not adequate, but frequently done … 2533 TABLE 1. Further support. Risk of metastasis present but very low. The prognosis of the tumor is excellent with appropriate treatment; but due to an increased risk for malignancy, periodic/regular checkups and screening mammograms are advised Who gets Borderline Phyllodes Tumor of Breast? Follow-up after treatment 7. If a benign phyllodes tumor comes back, another biopsy or surgery will be needed to confirm the diagnosis. 3-6 METHODS: We performed a literature review from January 2009 to April 2016 including the non-English literature. Treatment and prognosis. Some of the symptoms of Phyllodes tumors of the breast, whether malignant, benign or borderline include: Breast lump that is smooth and hard to the touch. Introduction. In the Cox multivariate analysis the histotype of the tumor was the only independent prognostic factor: 5-year NED survival was observed in 95.7% of the patients with benign phyllodes tumor, 73.7% with borderline phyllodes tumor, and 66.1% with malignant phyllodes tumor. A 48-year-old woman was diagnosed with a malignant phyllodes tumor in her right breast and underwent total right mastectomy. 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