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Cystosarcoma phyllodes and its surgical management

E B Buchanan1

  • 1Department of Surgery, Mercy Hospital of Pittsburgh, PA 15219-5166.

The American Surgeon
|April 1, 1995
PubMed
Summary

Proper surgical management guidelines for phyllodes tumors are presented. This study details treatment strategies for both benign and malignant cases, emphasizing accurate diagnosis and complete excision for optimal patient outcomes.

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Area of Science:

  • Oncology
  • Surgical Pathology
  • Surgical Oncology

Background:

  • Phyllodes tumors are often misdiagnosed by pathologists.
  • Inadequate surgical management can lead to suboptimal patient outcomes.
  • Accurate diagnosis and treatment are crucial for phyllodes tumors.

Purpose of the Study:

  • To formulate guidelines for the proper surgical management of phyllodes tumors.
  • To address the challenges of misdiagnosis and undertreatment.
  • To provide a clear treatment algorithm for phyllodes tumors.

Main Methods:

  • Retrospective review of 16 patients treated for phyllodes tumor from 1956 to 1984.
  • Comparison of findings with other reported series.
  • Development of a management algorithm based on clinical and pathological findings.

Main Results:

  • Eleven benign phyllodes tumor cases survived 9 to 35 years post-treatment.
  • Four malignant phyllodes tumor cases developed metastases.
  • One patient with metastatic disease survived 11 years post-mastectomy and 2 years after metastasis removal.

Conclusions:

  • A management algorithm including needle biopsy, wide excision, and mastectomy for larger or malignant tumors is proposed.
  • Surgical removal of solitary distant metastases should be considered for phyllodes tumors.
  • Adherence to these guidelines can improve surgical management and patient survival rates.

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