[Case reports of operative management of very large, benign phylloid tumors--is a safety margin necessary?].
The phylloid tumor (PT, formerly called cystosarcoma phylloides) is a rare neoplasia of the female breast. Usually the PT is treated with breast-conserving surgery. In spite of progress in early diagnosis, PTs recur frequently--independently of tumor's degree of malignancy. Especially in cases of malignant PT, complete resection with tumor-free margins is seen as the only predictive marker for tumor recurrence or metastases. Benign PT is also often resected with wide tumor-free margins. Because of the tumor's occasionally enormous dimensions, this therapy concept makes breast-conserving surgery almost impossible. A simple enucleation of benign PT is an option to facilitate the preservation of breast tissue and a cosmetically satisfactory breast reconstruction. In the case of particularly large benign PT, enucleation even without wide margins prevents tumor recurrence.
Abteilung für Senologie, Frauenklinik, Marienhospital Herne, Herne, Germany. senologie@evk-ge.de
A
A
Abdallah
O
O
Saklaoui
C
C
Stückle
F
F
Sommerer
W
W
Hatzmann
W
W
Audretsch
A
A
Wesemann
M
M
Zink
L
L
Skoljarev
S
S
Papadopoulos
D000328:Adult; D001707:Biopsy, Needle; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D008327:Mammography; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D008875:Middle Aged; D003557:Phyllodes Tumor / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016217:Ultrasonography, Mammary