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Low local recurrence rates in young Asian patients with phyllodes tumours: less is more
Jin Yao Teo1, Crystal Shuk-Jin Cheong, Chow Yin Wong
1Department of General Surgery, Singapore General Hospital, Singapore. the_gentleman82@hotmail.com
Background:
Phyllodes tumours are increasingly being discovered incidentally in young patients after excision of a seemingly innocuous breast lump. The clinical course of this group of patients has not been well-described, especially in the Asian population.
Methods:
A retrospective review of 44 consecutive patients below 25 years of age undergoing surgery for phyllodes tumours at our institution from 1992 to 2010 was conducted. Clinico-pathological data, local recurrence rates and margin involvement were recorded.
Results:
The majority of the patients had benign lesions treated with simple enucleation, and there were no local recurrences documented after a mean and median length of follow-up of 47.6 and 29.5 months, respectively.
Conclusion:
We conclude that in young Asian patients who present with benign phyllodes tumours, simple excision, followed by close follow-up is sufficient, regardless of surgical margin status.