CYSTOSARCOMA PHYLLODES: THE WESTERN AUSTRALIAN EXPERIENCE

Australian and New Zealand Journal of Surgery - Tập 69 Số 9 - Trang 635-638 - 1999
David Holthouse1, Peter A. Smith1, Richard Naunton‐Morgan1, David Minchin1
1Cancer Services Clinical Care Unit, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.

Tóm tắt

Background: Cystosarcoma phyllodes is a rare breast tumour whose behaviour is not well understood by many clinicians. Methods: In 1998 a retrospective study was undertaken of women diagnosed with phyllodes tumour of the breast who had their initial surgery between 1983 and 1994 in Western Australian public hospitals. Results: Forty women were diagnosed and treated over this period; however, only 28 received ongoing follow‐up (70%). Follow‐up was obtained on 26 of these. The median age at diagnosis in this group was 46 years. Cases were predominantly Caucasian (85.5%). Postmenopausal women were affected in 26.9% of cases. Four patients had recurrences after surgery (one malignant and three benign). No patient had a recurrence with primary tumours with a diameter of ≤ 2 cm. Mean time to recurrence was 35.8 months. Conclusions: Breast‐conserving surgery was used in almost all cases (96.2% of first operations).

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