Phyllodes tumor

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Phyllodes tumor
ICD-10 C50, D24, D48.6
ICD-9 217
ICD-O: M9020
DiseasesDB 3396
eMedicine med/500 
MeSH D003557

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

Overview

Phyllodes tumors (from Greek: phullon leaf), also cystosarcoma phyllodes, cystosarcoma phylloides and phylloides tumor, are typically large, fast growing masses that form from the periductal stroma of the breast. They account for less than 1% of all breast neoplasms.

Phyllodes tumors are a fibroepithelial tumor composed of an epithelial and a cellular stromal component. They may be considered benign, borderline, or malignant depending on histologic features including stromal cellularity, infiltration at the tumor's edge, and mitotic activity.

This is predominantly a tumor of adult women, with very few examples reported in adolescents. Occurrence is most common between the ages of 40 and 50, prior to the menopause. This is about 15 years older than the typical age of patients with fibroadenoma, a condition with which Phyllodes tumors may be confused.

The common treatment for phyllodes is wide local excision. Most patients are cured with surgery; the risk of developing local recurrence or metastases is related to the histologic grade, according to the above-named features.

Spectrum

Phyllodes tumors are considered to be on a spectrum of disease[1] that consists of fibroadenoma, fibroadenoma variant and benign phyllodes. Some would extend the spectrum to include malignant phyllodes tumors and frank sarcoma.

References

  1. Deen SA, McKee GT, Kissin MW (1999). "Differential cytologic features of fibroepithelial lesions of the breast". Diagn. Cytopathol. 20 (2): 53–6. PMID 9951596.

External links

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