Malignant Phyllodes Tumors of the Breast: A Study in Clinical Practice
| Autor: | James Majeski, Jason Stroud |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Pathology medicine.medical_specialty medicine.medical_treatment Breast surgery Biopsy Fine-Needle Breast Neoplasms Physical examination Mastectomy Segmental Preoperative care Phyllodes Tumor Preoperative Care Biopsy medicine Humans Mammography Breast Mastectomy Simple medicine.diagnostic_test business.industry Ultrasound Phyllodes tumor Middle Aged medicine.disease Breast & Endocrine Female Surgery Biopsy Large-Core Needle Ultrasonography Mammary Radiology business Mastectomy Follow-Up Studies |
| Zdroj: | International Surgery. 97:95-98 |
| ISSN: | 2520-2456 0020-8868 |
| DOI: | 10.9738/cc79.1 |
| Popis: | Malignant phyllodes tumors are an uncommon breast tumor in clinical practice of surgery. The study population consisted of five consecutive patients. Each patient had complete clinical follow-up with annual mammograms and physical examination in a specialized breast clinic. They were surgically treated for with malignant phyllodes tumor of the breast. All patients are alive and well with a complete follow-up. The first 2 patients had a fine needle aspiration cytology and were surgically treated by a simple mastectomy. The remaining 3 patients were preoperatively diagnosed with core needle biopsy. These 3 patients were treated with a wide excision of the phyllodes tumor with at least a 1-cm margin of normal breast tissue. Mammography was 100% accurate in demonstrating a dense breast mass. In each patient ultrasound suggested heterogeneous internal echoes present in each malignant phyllodes tumor. Fine needle aspiration cytology was of no value in the diagnosis of a phyllodes tumor. Core needle biopsy is highly reliable in establishing a preoperative diagnosis. The most helpful clinical observation of a malignant phyllodes tumor was rapid growth and enlargement, which is frequently noted by the patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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