Phyllodes Tumour - Borderline

[kumo22]

Dear Doctor

I have a Phyllodes Tumour - Borderline type. A few questions as below:
- Does diet or lifestyle have any relationship to Phyllodes Turmour recurrence?
- Is there any thing we can do to prevent recurrence of Phyllodes Tumour?
- My doctor remove the tumour using Mammotone technique, so I guess only the lump is removed. It was after biopsy that it was discoved to be a Phyllodes Tumour. Do I need to do another surgery - WLE to remove the additional breast tissue?
- The high recurrence of this tumour seems to be the worry, are they also many patients who do not have a recurrence even though they just have the lump removed?

Thank you in advance for taking time to answer my questions.




This discussion is related to Phyllodes Tumor and Borderline.

[Anty79]

I just recently was diagnosed with breast cancer. In the same breast opposite side they discovered a Fibrodeanoma. After a lumpectomy and removal of the Fibrodeanoma, my surgent said the pathologist found out that a Phylloids tumor was present instead of a Fibrodeanoma. Should i be concerned? I'm going back into surgery at the end of the month becaue i small tiny cancer is in one of my lymph nodes and my surgent is going back into where the phylloids tumor was to remove more tissue.

[Dr_Aparna]

Hi,
Phyllodes tumors , also cystosarcoma phyllodes,  are typically large, fast growing masses that form from the periductal stroma of the breast.
They may be considered benign, borderline, or malignant depending on histologic features including stromal cellularity, infiltration at the tumor's edge, and mitotic activity. All forms of phyllodes tumors are considered breast cancer, as even the benign form is regarded as having malignant potential.
These tumors are very fast growing, and can increase in size in just a few weeks. Occurrence is most common between the ages of 40 and 50, prior to the menopause.
The common treatment for phyllodes is wide local excision.
Other than surgery, there is no cure for phyllodes, as chemotherapy & radiation therapy are not effective.
The risk of developing local recurrence or metastases is related to the histologic grade.One study has suggested that total mastectomy is more effective than breast-conserving surgery.
ref:http://en.wikipedia.org/wiki/Phyllodes_tumor
A skilled pathologist is needed to distinguish a benign phyllodes tumor from one with more aggressive malignant potential. In any event, women who undergo surgery for removal of a phyllodes tumor require close surveillance with followup mammogram and physical examination at regular intervals. Malignant phyllodes tumors are best managed with a wide excision of normal breast tissue around the tumor to obtain clean margins. In most cases, radiation therapy is not required. Very large malignant phyllodes tumors may require complete removal of the breast for management.
ref:http://www.stronghealth.com/ services/womenshealth/BreastCare/cystosarc oma.cfm
You need to discuss a WLE  and any other measures with your surgeon.