title: [Benign phylloides tumor of the breast. Considerations on a clinical case].
abstract: Phyllodes tumors are unusual biphasic fibroepithelial neoplasms of the breast, accounting for < 1% of all breast tumors and raising issues of diagnosis and therapeutic choice. They can grow quickly and when the maximum diameter is greater than 10 cm. We talk about giant phyllodes tumors. Ultrasound, Mammography and FNA are not effective. A potentially useful diagnostic modality is MRI. Core tissue biopsy or incisional biopsy represent the preferred means of pre-operative diagnosis. Conservative treatment can be effective also in giant tumors depending upon the size of the tumor and the breast if a complete excision with an adequate margin of normal breast tissue can be achieved, so avoiding local recurrence often accompanied by worse histopathology. The Authors report the case of a giant benign phyllode tumor of the breast treated with conservative surgery, quadrantectomy and oncoplasty. No local recurrence at 4 years follow-up.
authors.affiliation: Unità Operativa Clinica Chirurgica, Dipartimento di Chirurgia, Azienda Ospedaliera Universitaria "Vittorio Emanuele - Ferrarotto - S.Bambino", Catania.
authors.forename: Antonio
authors.initials: A
authors.lastname: Biondi
authors.forename: Michela
authors.initials: M
authors.lastname: Di Giuntao
authors.forename: Salvatore
authors.initials: S
authors.lastname: Motta
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Privitera
authors.forename: Debora Simona
authors.initials: DS
authors.lastname: Fichera
authors.forename: Roberto
authors.initials: R
authors.lastname: Ciuni
authors.forename: Francesco
authors.initials: F
authors.lastname: Basile
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D003557:Phyllodes Tumor / Q000473:pathology / Q000601:surgery