The appropriate width of the tumour-free margin in surgery of phyllodes tumour of the breast.
Author(s): Jerzy W. Mitus, PaweÃ Â 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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Institute of Gynecology and Obstetrics, Medical University of Lodz, I Clinic of Gynecology and Gynecological Oncology (Lodz, Poland)
Head of the Oncology Gynecology Clinic, Oncology Center - Instytut im. Maria Sklodowska Curie, Department in Krakow (Krakow, Poland)
Klinika Nowotworow Gornego Odcinka Uklad Digestii, Oncology Center - Institute (Warsaw, Poland)
Department of Radiotherapy, Oncology Center-Institute (Warsaw, Poland)
Head of the Obstetrics and Gynecology Clinic of the University of Otto von Guericke (Magdeburg, Germany)