RETROSPECTIVE STUDY OF RECURRENT PHYLLODES TUMORS AND ASSESSMENT OF THE ROLE OF ADJUVANT RADIOTHERAPY TO REDUCE THE RECURRENCE FURTHER.

Author:

De Suman1,Bhattacharya Nirjhar2

Affiliation:

1. Junior Resident, Department of General Surgery, Nilratan Sircar Medical College & Hospital, Kolkata.

2. Professor, Department of General Surgery, Nilratan Sircar Medical College & Hospital, Kolkata.

Abstract

Background: Phyllodes tumors (PTs) are rare biphasic fibroepithelial neoplasms accounting for < 1% of all breast lesions[1]. Aim: To reduce the recurrence rate of phyllodes tumor of breast. Materials and Methods: A retrospective study which reviewed the recurrent phyllodes tumors for last 10 yrs in our hospital. Results: We found that out of 14 patients, all underwent radical surgery. 9 patients (64%) received post operative radiotherapy after radical surgery. After a follow up period of 1- 2 yrs. only 1 patient (11%) develops local recurrence, among the post radiotherapy group. In the non irradiated group of 5(36%), 3 patients (60%) develop local recurrence. Conclusion: The study reflects that radiotherapy following radical surgery reduce the recurrence rate.

Publisher

World Wide Journals

Reference14 articles.

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2. Geisler DP, Boyle MJ, Malnar KF, McGee JM, Nolen MC, Fortner SM, et al. Phyllodes tumors of the breast: a review of 32 cases. Am Surg 2000;66:360–6.

3. Calhoun KE, Lawton TJ, Kim JN, Lehman CD, Anderson BO. Phyllodes tumors. In: Harris J, Lippman ME, Osborne CK, Morrow M, editors. Diseases of the breast. Philadelphia: Lippincott Williams &Wilkins; 2010. p. 781–92.

4. Komenaka IK, El-Tamer M, Pile-Spellman E, Hibshoosh H. Core needle biopsy as a diagnostic tool to differentiate phyllodes tumor from fibroadenoma. Arch Surg 2003; 138: 987–90.

5. Vetto J, Pommier R, Schmidt W, Wachtel M, DuBois P, Jones M, et al. Use of the “triple test” for palpable breast lesions yields high diagnostic accuracy and cost savings. Am JSurg 1995; 169: 519–22.

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