[Phyllodes tumor of the breast: analysis of 8 patients]

J Gynecol Obstet Biol Reprod (Paris). 2005 May;34(3 Pt 1):252-6. doi: 10.1016/s0368-2315(05)82743-7.
[Article in French]

Abstract

Introduction: Phyllodes tumors of breast are rare and usually benign. These are histologically fibro-epithelial tumors similar to fibroadenomas. Histological confirmation on the operative specimen is required to establish the diagnosis and histological pronostic of phyllode tumors.

Materials and methods: We reviewed 8 cases of phyllodes tumors and the literature to report the circumstances of occurrence of these tumors, and their specific clinical diagnosis, therapeutic, prognostic features.

Results: 62.5% of patients were nulliparous. The mean age at diagnosis was 33.4 years. Mean tumor size was 3.75 cm. Tumours predominated on the right side (87.5%) and upper-outer quadrant (62.5%). Imaging findings were helpful for diagnosis. Aspiration cytology demonstrated the phyllode tumor in 43% of patients. Wide tumorectomy was performed in seven patients. One patient underwent mastectomy and radiotherapy and chemotherapy. The recurrence rate (37.5%) justifies wide margin excision. There were no deaths in our series.

Discussion: and conclusion. These results together with those reported in the literature show that the loco-regional and general spread depends on margin surgery.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / therapeutic use
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Female
  • Humans
  • Mastectomy
  • Mastectomy, Segmental
  • Middle Aged
  • Phyllodes Tumor / diagnosis*
  • Phyllodes Tumor / pathology
  • Phyllodes Tumor / surgery
  • Radiotherapy

Substances

  • Antineoplastic Agents