Surgical Treatment and Recurrence of Phyllodes Tumor
Ainul Hadi, Shehla Faridoon, Farrukh Ozair Shah, Muhammad Shah, Rashid Aslam, Shehzad Akbar Khan
To evaluate the different surgical options and their postoperative recurrence rates in patients with phyllodes tumor.
Descriptive case series.
Place & Duration of study
Department of Surgery, Hayatabad Medical Complex Peshawar, from January 2015 to December 2018.
Twenty five female patients with confirmed diagnosis of phyllodes tumor, were admitted through Out Patient Department (OPD). Patients were categorized into benign, borderline and malignant types using WHO classification. After preoperative assessment, surgery was performed under general anesthesia. Patients were followed up in the OPD for one year and data was recorded.
The mean age of patients was 41 year (range 20-65 year). Fifteen (60%) cases were benign, 4 (16%) borderline and 6 (24%) malignant. Right breast was involved in 14 (56%) cases and the most commonly (n=18 - 72%) affected site was upper and outer quadrant. Surgical procedures performed were wide local excision with one cm clear margin (n=19 - 76%) and simple mastectomy (n=6 - 24%). Five (20%) cases were picked up with local and systemic recurrence. No patient developed distant metastasis. There was no mortality.
Wide local excision with adequate clearance is a better option followed by chemotherapy to minimize the risk of local and systemic recurrence.
Phyllodes tumor, Surgical excision, Breast tumor.