The appropriate width of the tumour-free margin in surgery of phyllodes tumour of the breast.

Abstract

Author(s): Jerzy W. Mitus, PaweÅ? Blecharz, Wojciech Wysocki

Based on our own observations and literature data, including NCCN guidelines, we present the view of the optimal surgical treatment of the Phyllodes Tumour of the breast (PT). PT treatment requires removal of the breast tumor with a margin of at least 1 cm. Nonetheless, the last several months have brought several significant publications, which suggest that a margin of 1 mm, is quite sufficient to prevent the local recurrence of PT. Therefore, we decided, present the results of these studies. The treatment of choice in all patients with PT is excision of the breast tumor, maintaining the surgical free margin from tumor infiltration. In the group of patients with malignant (possibly borderline) form of PT, when the margin is less than 1 mm, frequent and rigorous follow up are to be considered to detect possible local recurrence, reoperation to obtain a tumor-free margin of at least 1mm or adjuvant radiotherapy, although its value is still the subject of discussion and controversy.

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Editors List

  • S.SREEDHAR

    Submitted PhD thesis in Biotechnology at GITAM University, Vizag.

  • Yousef Alomi

    Yousef Alomi
    The Past Head, General Administration of Pharmaceutical Care at Ministry of Health,
    Saudi Arabia Critical Care/TPN
    Clinical Pharmacist Ministry of Health,
    Riyadh, Saudi Arabia.

  • Osamu Tanaka

    Osamu Tanaka
    Assistant Professor,
    Department of Radiation Oncology
    Asahi University Hospital
    Gifu city, Gifu, Japan

  • Maher Abdel Fattah Al-Shayeb

    Department of Surgical Sciences, Ajman University, UAE

  • Andrzej Zdziennicki

    Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)

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