GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS

Authors

  • Rosana Zabulon Feijó Belluco Especialista em Mastologia; Docente de medicina da Escola Superior de Ciências da Saúde – ESCS. Brasília, DF-BR http://orcid.org/0000-0003-2224-4690
  • Paulo Eduardo Silva Belluco Mestre em Ciências da Saúde pela Escola Superior de Ciências da Saúde – ESCS. Brasília, DF-BR http://orcid.org/0000-0002-5964-1107
  • Victor Hudson de Lacerda Borges Acadêmico de medicina da Escola Superior de Ciências da Saúde – ESCS. Brasília, DF-BR http://orcid.org/0000-0003-1729-7683
  • Rafaela Debastiani Garcia Especialista em Ginecologia e Obstetrícia – Hospital Regional da Asa Norte – HRAN. Brasília, DF-BR
  • Carla Borges Santos Especialista em Ginecologia e Obstetrícia – Hospital Regional da Asa Norte – HRAN. Brasília, DF-BR
  • Jullia Eduarda Feijó Belluco Acadêmica da faculdade de medicina – Centro Universitário Euro Americano – UNIEURO Brasília, DF-BR
  • Carmélia Matos Santiago Reis Doutora em Dermatologia pela Universidade Federal do Estado do Rio de Janeiro; Coordenadora da Pós –Graduação e Extensão da Escola Superior de Ciências da Saúde – ESCS – Brasília, DF-BR

DOI:

https://doi.org/10.34635/rpc.892

Keywords:

Phyllodes Tumor, Breast Neoplasms, Mastectomy

Abstract

Phyloid Tumors are rare fibroepithelial tumors of the breast, representing less than 1% of all breast neoplasms, affecting women in the age group with the highest incidence between 40 and 50 years. With a variable biological behavior, the spectrum of benign presentation is confused with cellular fibroadenoma and, not the other extreme, the malignant presents similarities with other malignant neoplasms of the breast. Indicate, appear as a palpable, smooth, multinodular, firm, mobile and painless tumor, with abnormal mammographic and ultrasound findings. Tumor growth is usually rapid, with no correlation with increased risk of malignancy. The diagnosis is confirmed by histopathological evaluation. The treatment is eminently surgical, with excision with free margins and even mastectomy, a tumor-dependent extension being indicated. The presence of margins is important, since this contributes to the reduction of local recurrences, very common in this type of tumor. Adjuvant radiotherapy is controversial in the literature, but it appears to reduce recurrence without changing mortality. This article requires 02 cases of Phyloid Tumor, a benign and malignant variant, with which we aim to emphasize the importance of differential diagnosis and adequate surgical treatment, especially less postoperative morbidity.

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Published

2023-01-27

Issue

No. 54 (2022): December

Section

Clinical Case

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