Phyllodes tumors

Abstract EN

I he purpose of this study is to formulate guidelines for proper surgical management of phyllodes tumours.

It is a disease often misdiagnosed by the pathologist and undertreated by surgeons.

We have retrospectively studied 12 patients with histologically proven cystosarcoma phy-l¬odes (CSP).

There were 4 benign and S malignant lesions, with an incidence of 33.33 % vs 66.66 % respectively.

The treatment was surgical in all patients.

The extent of sur¬gery ranged from wide local excision to Modified Radical Mastectomy (MRM).

One patient with malignant CSP de-veloped lung metastases (12.5 %) and three had recurrences (37.5 %).

The exact recurrence rate can't be calculated because 5 patients lost follow-up.

The results of this study indicates that local excision is safe for benign CSP and all patients with malignant CSP should be treated by mastec¬tomy since there is a high recurrence rate with local exci¬sion (37.5 %).