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Breast Cancer (Expert Forum)
phyllodes tumor
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
phyllodes tumor
by nikoula, Feb 08, 2006 12:00AM
hello
i am 46 years old.history :five lumpectomies for breast fibroadenomas between 23-40 yrs.last lumpectomy at2003 with pathology "biphasic tumor of right breast with partially characters of phylodes tumor".size about 10cm,ia a few areas cellularity,5-8 mitoses/10hpf,one infiltrating margin tothe connecting adipose,mild to moderate atypia,no hemorhage ,no necrosis.after this biopsy i have undergone mastectomy.
follow up:for three years (that is now)C/T LUNG twice yearly and after one yearly.the lastC/T (08/05)NEGATIVE.
IS THIS MALIGNANT TUMOR?DO YOU AGREE WITH THE TREATMENT AND FOLLOW UP?WHAT IS THE PROGNOSIS?
THANK YOU
i am 46 years old.history :five lumpectomies for breast fibroadenomas between 23-40 yrs.last lumpectomy at2003 with pathology "biphasic tumor of right breast with partially characters of phylodes tumor".size about 10cm,ia a few areas cellularity,5-8 mitoses/10hpf,one infiltrating margin tothe connecting adipose,mild to moderate atypia,no hemorhage ,no necrosis.after this biopsy i have undergone mastectomy.
follow up:for three years (that is now)C/T LUNG twice yearly and after one yearly.the lastC/T (08/05)NEGATIVE.
IS THIS MALIGNANT TUMOR?DO YOU AGREE WITH THE TREATMENT AND FOLLOW UP?WHAT IS THE PROGNOSIS?
THANK YOU
Doctor's Answer
by CCF-RN,MSN-rf, Feb 09, 2006 12:00AM
Dear nikoula: Phyllodes tumors are largely considered benign tumors. A percentage of these tumors can be malignant. The estimation is between 16% and 30% but the actual incidence is unknown. Treatment for phyllodes tumors involves removing the tumor with wide margins. Follow up would depend upon whether the tumor is benign or malignant. You should discuss with your doctor whether your tumor was benign or malignant and the recommended followup. The prognosis depends upon whether the tumor is benign or malignant and if malignant whether it spreads.
