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Cystosarcoma phyllodes: a clinicopathological analysis of 14 cases
International Surgery
|August 1, 1979
Summary
Surgical management of cystosarcoma phyllodes involves local excision for benign, small tumors and mastectomy for bulky or malignant cases. Axillary node dissection is not recommended due to the low risk of metastasis.
Area of Science:
- Oncology
- Surgical Pathology
- Breast Surgery
Background:
- Cystosarcoma phyllodes are rare breast tumors.
- Understanding optimal surgical strategies is crucial for patient outcomes.
Purpose of the Study:
- To report surgical outcomes for cystosarcoma phyllodes.
- To define indications for local excision versus mastectomy.
- To evaluate the necessity of axillary lymph node dissection.
Main Methods:
- Retrospective case review of 14 patients with cystosarcoma phyllodes.
- Analysis of tumor size, histology, and treatment modality.
- Assessment of axillary lymph node status.
Main Results:
- Local excision with wide margins was suitable for benign and small tumors.
- Simple mastectomy was indicated for bulky or malignant tumors.
- No cases demonstrated axillary lymph node metastasis, deeming dissection unnecessary.
Conclusions:
- Treatment decisions for cystosarcoma phyllodes should be guided by tumor size and histology.
- Axillary lymph node dissection is contraindicated in cystosarcoma phyllodes given the absence of nodal metastasis in this cohort.