Surgical Treatment and Recurrence of Phyllodes Tumor

Ainul Hadi, Shehla Faridoon, Farrukh Ozair Shah, Muhammad Shah, Rashid Aslam, Shehzad Akbar Khan

Abstract

Objective

To evaluate the different surgical options and their postoperative recurrence rates in patients with phyllodes tumor.

Study design

Descriptive case series.

Place & Duration of study

Department of Surgery, Hayatabad Medical Complex Peshawar, from January 2015 to December 2018.

Methodology

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.

Results

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.

Conclusion

Wide local excision with adequate clearance is a better option followed by chemotherapy to minimize the risk of local and systemic recurrence.

Key words

Phyllodes tumor, Surgical excision, Breast tumor.