What is the best surgical treatment for phyllodes tumors?
What is the best surgical treatment for phyllodes tumors?
Tumor Excision and Mastectomy Complete excision, with accurate histologic examination and continued follow-up care, is the best way to treat phyllodes tumors. A general surgery specialist should be consulted. In most cases, wide local excision is indicated, with a rim of normal tissue included.
What is Cystosarcoma?
Phyllodes tumor—once more commonly referred to as cystosarcoma phyllodes (from Greek kystis [“sac, bladder”], sarkoma [“fleshy tumor”], and phyllon [“leaf”])—is a rare, predominantly benign tumor that occurs almost exclusively in the female breast.
Are phyllodes tumors movable?
Phyllodes tumor is the most commonly occurring nonepithelial neoplasm of the breast, though it represents only about 1% of tumors in the breast. It has a smooth, sharply demarcated texture and typically is freely movable.
What does low grade phyllodes tumor mean?
AFIP defines low-grade phyllodes tumors as fibroepithelial neoplasms with well-defined borders, uniform leaf-like processes, rare to moderate mitoses (<3 mitoses per 10 high-power fields), mildly increased cellularity often with subepithelial accentuation, no to mild cytological atypia and no sarcomatous stromal …
Can a phyllodes tumor spread?
Phyllodes tumors tend to grow quickly, but they rarely spread outside the breast. Although most phyllodes tumors are benign (not cancerous), some are malignant (cancerous) and some are borderline (in between noncancerous and cancerous).
Which is the best treatment for a phyllodes tumor?
The mainstay of treatment for phyllodes tumors remains excision with a safe surgical margin, taking advantage breast conserving surgery where amenable. For borderline or malignant phyllodes tumors or in cases of local tumor recurrence, mastectomy, and immediate breast reconstruction may become the preferred option.
Are there any cures or cures for phyllodes?
Treatment. The common treatment for phyllodes is wide local excision. Other than surgery, there is no cure for phyllodes, as chemotherapy and radiation therapy are not effective. The risk of developing local recurrence or metastases is related to the histologic grade, according to the above-named features.
Can a phyllodes tumor of the breast be removed?
Surgery is the main treatment for phyllodes tumors of the breast. This is the case regardless of whether they are benign or malignant. Because these tumors can come back if enough normal tissue is not removed, surgery should involve removing the tumor and at least 1 cm of the surrounding tissue.
Can a phyllodes tumor grow back after surgery?
If your phyllodes tumor was malignant, you may need regular CT scans of your chest and abdomen for 5 years after your surgery. Your outlook is excellent if you had a benign tumor removed with surgery. Treatment often cures malignant phyllodes tumors, but they’re more likely to grow back. They can spread beyond your breast to your lungs.