Practical aspects in the diagnosis and management of cystosarcoma phyllodes
| Autor: | Wiley F. Barker, Donald F. Brayton, William E. Trumbull, Armando E. Giuliano, John Hart, Lester J. Layfield |
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| Rok vydání: | 1988 |
| Předmět: |
Adult
Pathology medicine.medical_specialty Adolescent business.industry Wide local excision medicine.medical_treatment Phyllodes tumor Breast Neoplasms Middle Aged medicine.disease Surgery Giant fibroadenoma Phyllodes Tumor medicine Methods Humans Malignant cystosarcoma phyllodes Female Positive Surgical Margin Neoplasm Recurrence Local Benign Cystosarcoma Phyllodes business Normal breast |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 123(9) |
| ISSN: | 0004-0010 |
| Popis: | • Thirty-five cases of benign cystosarcoma phyllodes, 13 cases of malignant cystosarcoma phyllodes, and ten cases of giant fibroadenoma were studied. The diagnosis of benign or malignant cystosarcoma phyllodes was based on a combination of histological features. Clinical and gross pathologic findings were not found to be useful in distinguishing between benign and malignant tumors. Giant fibroadenomas occurred primarily in black adolescents and were histologically distinct. Positive surgical margins were found to be the best predictor of local recurrence of benign or malignant cystosarcoma phyllodes. Systemic metastases occurred in only one case of malignant cystosarcoma phyllodes. Most benign and malignant cystosarcoma phyllodes may be treated by wide local excision with tumor-free margins. Giant fibroadenomas should be treated by simple excision to preserve normal breast tissue. ( Arch Surg 1988;123:1079-1083) |
| Databáze: | OpenAIRE |
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