Malignant Phyllodes Tumor
Malignant Phyllodes Tumor
Malignant Phyllodes Tumor
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Clinical Behavior<br />
• Local recurrence does not equate with<br />
malignancy<br />
• <strong>Malignant</strong> PT means metastatic capability<br />
• PT often recur, but DO NOT metastasize<br />
Core Biopsy Considerations<br />
Dx: Fibroglandular lesion<br />
see comment<br />
Surgically excise<br />
Fibroglandular lesion<br />
Fibroadenoma<br />
<strong>Phyllodes</strong> <strong>Tumor</strong><br />
???<br />
Moderate to marked stromal<br />
cellularity<br />
Stromal atypia<br />
Mitoses<br />
YES NO<br />
Dx: Fibroadenoma<br />
Follow clinically or remove<br />
Clinical Management<br />
• Any can recur with inadequate margins<br />
• Rate of local recurrence related margin<br />
width<br />
• No significant role for XRT<br />
•
Change language