What is the treatment for phyllodes tumor?

What is the treatment for phyllodes tumor?

Local therapy for a phyllodes tumor will include surgery (wide excision or mastectomy) to remove the tumor and extra tissue around it. Sometimes, radiation is given as well. Systemic therapy (chemotherapy) may be used if a malignant phyllodes tumor has spread outside of the breast, though this not common.

What are the features of the phyllodes tumor of mammary gland?

Phyllodes tumor on mammography. It shows well circumscribed oval or lobulated mass with rounded borders. A radiolucent halo may be seen around the lesion due to compression of the surroundings. Coarse calcification (but malignant microcalcification is rare) may be present.

Can phyllodes tumor cause death?

The survival rate for malignant phyllodes tumors is reported as approximately 60–80% at 5 years [4], [11], [20]. Metastatic disease has been reported in 13–40% of patients [1], [3], [4]. Metastases most frequently involve the lungs. After the development of metastases, mean overall survival is 30 months [21].

Can phyllodes tumor spread?

These tumors are the least likely to grow quickly or to spread. Borderline tumors have features in between benign and malignant (cancerous) tumors. Malignant (cancerous) tumors account for about 1 in 4 phyllodes tumors. These tend to grow the fastest and are the most likely to spread or to come back after treatment.

Where do phyllodes tumors occur?

A phyllodes tumor is a rare tumor of the breast. Phyllodes tumors grow in the connective tissue of your breast, called the stroma. The American Cancer Society says that most phyllodes tumors aren’t cancerous, so they don’t often spread outside your breast. However, they can grow quickly.

Can a benign phyllodes tumor become malignant?

Very rarely, benign phyllodes tumours can develop into a borderline or malignant phyllodes tumour. If your tumour does come back, you’ll need to have further surgery.

Can phyllodes tumours grow again?

Phyllodes tumors aren’t usually cancerous, but they can sometimes return after treatment. Usually, these tumors come back within 1 or 2 years after you have surgery. Cancerous tumors may come back sooner.

¿Cuáles son los síntomas de un tumor phyllodes?

El síntoma más común de un tumor phyllodes es un bulto en la mama. Independientemente de si el tumor phyllodes es canceroso o no, tiende a crecer rápidamente y a estirar la piel.

¿Cuáles son los factores predisponentes para el tumor phyllodes?

No se han asociado factores predisponentes para el tumor phyllodes, con excepción del síndrome de Li-Fraumeni 4. La mayoría clínicamente se presentan como un nódulo palpable de la mama, indoloro, multilobulado, de consistencia firme, con red venosa superficial y de crecimiento rápido.

¿Cuáles son los tumores filodes más frecuentes en mujeres?

Los tumores filodes son más frecuentes en mujeres de 41 a 49 años de edad, aunque pueden presentarse en mujeres de cualquier edad. Las mujeres con síndrome de Li-Fraumeni (una afección genética hereditaria y poco común) tienen un mayor riesgo de tumores filodes.

¿Cuál es la diferencia entre un fibroadenoma y un phyllodes?

Cuando se detecta por primera vez a través de la mamografía, puede resultar difícil diferenciar entre un tumor phyllodes y un fibroadenoma, que es el tipo más común de tumor mamario benigno.