The surgical management of phylloides tumour

Abstract

Background:To study clinical presentation and management of this rare disease. Phylloides tumours are rare fibroepithelial lesions of breast.

Methods: A prospective study was conducted in the department of surgery in a medical college and hospital in central India over a period from March 2006 to March 2016.  Total 96 female patients of phylloides tumour were included in this study.

Results:Out of 98 patients, majority of patients were in the age group of 31 - 40 years. Mean age of presentation was 37 years ranging from 12 years to 57 years. 43.75% patients were having breast lump involving all four quadrant of breast. The surgical management includes wide local excision in 28, lumpectomy in 26, simple mastectomy in 40 and radical mastectomy in 02 patient. Three histotypes of phylloides tumor, i.e., benign (42 cases, 43.75%), borderline (12 cases, 12.5%), and malignant (42 cases, 43.75%) were observed in the present study.

Conclusions:The preoperative diagnosis and proper management are crucial in phylloides tumours because of their tendency to recur and malignant potential in some of these tumours. Excision of the phylloides tumour with a wide margin of healthy tissue is safe and effective method of local control.