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phylloides tumor

phylloides tumor

I had a 1 cm. phylloides tumor removed in June with clear wide margins over 1 cm.  The 1st pathologist did not grade it but "leaned towards high grade."  It was then sent for a second opinion to Dr. Paul Peter Rosen @ Columbia. He confirmed "low grade" 2 mitosis/hpf, infiltrating margin, pleomorphic but no stomal overgrowth.  I went to Sloan to see a sarcoma specialist subsequently and their pathologist reported "high grade" pylloides with no explanation on the report.  Is there another "Phylloides expert" to send my slides to for the sake of peace of mind?  Dr. Rosen re-reviewed the slides after my visit to Sloan and stands by his diagnosis.


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Krishnamurthy S, Ashfaq R, Shin HJ, Sneige N.
Department of Pathology, University of Texas, MD Anderson Cancer Center, Houston 77030, USA.

those folks may be able to give you another opinion:
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=11156517&ordinalpos=37&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum
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