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Diagnosis and management of phyllodes tumour of the breast - 5 year study of a tertiary care centre

Jayant Pednekar, Nida Khan, Sundaram Pillai, Pragati Singhal, Rohith Pillai, Manish Kumar.

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Phyllodes Tumour is a rare fibroepithelial breast neoplasm that presents with a painless growing mass, that is most often benign, but maybe borderline or malignant. FNAC cannot conclusively differentiate between Fibroadenoma and Phyllodes. Confirmation is on Histopathology of excised specimen. Treatment is wide local excision for benign or borderline tumours. Malignant Tumours can be treated by either wide local excision or Simple Mastectomy, with no evidence to support the superiority of one procedure over the other, as margin status determines prognosis. However, recurrent tumours are treated by Simple Mastectomy. Adjuvant Radiotherapy prevents local recurrence and overall prognosis. We conducted a retrospective study on all histopathologically proven Phyllodes tumours presented to our institute between Jan 2015 and Jan 2020 and compared their age of presentation.

Key words: Cystosarcoma Phyllodes, Malignant Phyllodes Tumour, Ki-67

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