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Phyllodes tumor of breast.
Jamshed Shabbir1, John Barry O'Sullivan, Sarfraz Mahmood
1Department of General Surgery, Ennis General Hospital, Ennis. drjamshed@eircom.ney
Summary
Phyllodes tumors are rare breast tumors, typically benign but with malignant potential. Surgical excision is the primary treatment, with mastectomy recommended for large tumors to prevent recurrence.
Area of Science:
- Oncology
- Pathology
Background:
- Phyllodes tumors represent a rare subset of breast neoplasms, accounting for 0.3%-0.5% of all breast tumors.
- While generally benign, malignant variants possess metastatic potential, necessitating careful management.
- Current treatment paradigms focus on surgical intervention due to a lack of proven benefit from adjuvant therapies.
Observation:
- This report details a case involving a 42-year-old female diagnosed with a benign phyllodes tumor.
- The case presentation is complemented by a comprehensive review of existing literature on phyllodes tumors.
Findings:
- Surgical excision is the definitive treatment for phyllodes tumors.
- Recommendations include wider excision with 1 cm clear margins for involved resection margins.
- Simple mastectomy is advised even for large benign phyllodes tumors to mitigate recurrence risk.
Implications:
- Accurate diagnosis and surgical management are crucial for phyllodes tumors.
- Understanding recurrence patterns informs treatment decisions, particularly for larger tumors.
- Further research may elucidate optimal adjuvant strategies for malignant variants.