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[Phyllodes breast tumors].

I Zedníková, M Černá, M Hlaváčková

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |January 22, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Phyllodes tumours are rare breast tumours. Early diagnosis and surgical treatment are key, as delayed diagnosis increases malignancy risk, but surgical intervention remains effective even for malignant cases.

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    Area of Science:

    • Oncology
    • Surgical Pathology
    • Breast Surgery

    Background:

    • Phyllodes tumours are rare breast neoplasms, comprising only 1% of all breast tumours.
    • Diagnosis can be challenging due to the rarity of these tumours.
    • Surgical intervention is the standard treatment for phyllodes tumours.

    Purpose of the Study:

    • To evaluate the clinical characteristics, treatment, and outcomes of phyllodes tumours.
    • To assess the relationship between tumour size, duration, and malignancy.
    • To determine the efficacy of surgical management for both benign and malignant phyllodes tumours.

    Main Methods:

    • A retrospective analysis of twelve female patients with phyllodes tumours treated between 2004 and 2013.
    • Evaluation of patient age, tumour characteristics (size, duration), metastasis, therapy, and survival.
    • Comparison of outcomes based on tumour size and histological diagnosis.

    Main Results:

    • The average patient age was fifty years; tumour size ranged from 2 to 29 cm.
    • Tumours smaller than 5 cm were consistently benign.
    • Malignant phyllodes tumours (5 cases) required mastectomy, with axillary exenteration in three cases; distant metastases occurred in two patients, with one fatality.

    Conclusions:

    • Timely diagnosis of phyllodes tumours is associated with a higher likelihood of benignancy.
    • Increased tumour size and duration correlate with a greater risk of malignancy.
    • Surgical treatment, including mastectomy for malignant forms, is effective; axillary exenteration is not routinely necessary.