Breast phyllodes tumor: A review of literature and a single center retrospective series analysis

Gianluca Spitaleri, Antonio Toesca, Edoardo Botteri, Luca Bottiglieri, Nicole Rotmensz, Sabrina Boselli, Claudia Sangalli, Chiara Catania, Francesca Toffalorio, Cristina Noberasco, Angelo Delmonte, Alberto Luini, Paolo Veronesi, Marco Colleoni, Giuseppe Viale, Stefano Zurrida, Aron Goldhirsch, Umberto Veronesi, Tommaso De Pas

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Complete surgical resection is the standard treatment for localized breast phyllodes tumors. Post-surgical treatments are still a matter of debate. We carried out an overview of the literature to investigate the clinical outcome of patients with phyllodes tumor. A retrospective analysis of mono-institutional series has been included as well. Methods: We reviewed all the retrospective series reported from 1951 until April 2012. We analyzed cases treated at our institution from 1999 to 2010. Results: Eighty-three articles (5530 patients; 1956 malignant tumors) were reviewed. Local recurrences were independent of histology. Distant recurrences were more frequent in the malignant tumors (22%). A total of 172 phyllodes tumors were included in the retrospective analysis. Discussion: Prognosis of phyllodes tumors is excellent. There are no convincing data to recommend any adjuvant treatment after surgery. Molecular characterization may well provide new clues to permit identification of active treatments for the rare poor prognosis cases.

Original languageEnglish
Pages (from-to)427-436
Number of pages10
JournalCritical Reviews in Oncology/Hematology
Volume88
Issue number2
DOIs
Publication statusPublished - Nov 2013

Keywords

  • Breast tumors
  • Literature overview
  • Phyllodes tumor
  • Prognosis
  • Retrospective analysis

ASJC Scopus subject areas

  • Oncology
  • Hematology
  • Geriatrics and Gerontology

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