title: Surgical Resection of Phyllodes Tumour: a Radical Approach as a Safeguard Against Local Recurrence.
abstract: Phyllodes tumour is a rare benign neoplasm of the breast. It is a mixed tumour of epithelial and mesenchymal origin. The epithelial element is characterized by proliferation of ductolobular units. The fibrous tissue and collagen bundles represent the mesenchymal element. It is also known as "cystosarcoma" phyllodes to characterize some important features, viz. cyst-like or cleft-like spaces within the mass along with a leaf- or frond-like pattern of the stromal element. The tumour is well known for its high potential for local recurrence. Most patients in developing countries present with very large breast tumours with close proximity to the skin and pectoralis major. In these cases, there is a need to perform a three-dimensional en bloc removal of the mass with overlying skin and underlying muscle(s). If a skin flap is raised in the vicinity of the tumour, there is a risk of cutting close to the tumour, increasing risk of local recurrence. Here, we describe a surgical technique that permits a three-dimensional en bloc removal of phyllodes tumour.
authors.affiliation: Tata Memorial Centre, Department of Surgical Oncology, Breast Services, Tata Memorial Hospital, Mumbai, India.
authors.forename: Rajendra A
authors.initials: RA
authors.lastname: Badwe
authors.affiliation: Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Kamal
authors.initials: K
authors.lastname: Kataria
authors.affiliation: Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
authors.forename: Anurag
authors.initials: A
authors.lastname: Srivastava
keywords: Cystosarcoma; Phyllodes tumour; Radical surgery; Wide local excision