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Cystosarcoma phyllodes of the breast: a case report in a 12-year-old girl

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Abstract

Breast tumors in adolescents are very rare and mostly benign. Fibroadenomas are the most frequent, but within the extensive differential diagnosis, the phyllodes tumor must be mentioned, which accounts for about 1% of breast tumors and the diagnosis of which is very rare in patients younger than 20 years. There are no specific symptoms or radiological images to distinguish phyllodes tumor from fibroadenoma; therefore, histological examination is mandatory for diagnosis. Histology also allows the classification of phyllodes tumor into benign, borderline, or malignant types for appropriate surgical treatment: freemargin excision in benign tumors and mastectomy in the other two types. Fortunately, the majority of these tumors are benign, and treatment maximizes breast conservation with free infiltration margins surgery, given that this fact is the most important factor to prevent local recurrence. In this article, we describe a rare case of borderline cystosarcoma phyllodes in a 12-year-old girl.

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References

  1. Davis S, Chang M.H, McGrath MPH (2007) Management of benign tumors of the adolescent breast. Plast Reconstr Surg 120:13e

    Article  Google Scholar 

  2. Komenaka IK, El-Tamer M, Pile Spellman E et al (2003) Core needle biopsy as a diagnostic tool to differentiate phyllodes tumor from fibroadenoma. Arch Surg 138:987–990

    Article  PubMed  Google Scholar 

  3. Kraemer B, Hoffmann J, Roehn C et al (2007) Cystosarcoma phyllodes of the breast, a rare diagnosis: case studies and review of the literature. Arch Gynecol Obstet 276:649–653

    Article  PubMed  Google Scholar 

  4. Jacklin RK, Ridgway PF, Ziprin P et al (2006) Optimising preoperative diagnosis in phyllodes tumor of the breast. J Clin Pathol 59: 454–459

    Article  CAS  PubMed  Google Scholar 

  5. Reinfuss M, Mitus J, Duda K et al (1996) The treatment and prognosis of patients with phyllodes tumor of the breast: an analysis of 170 cases. Cancer 77:285–288

    Article  Google Scholar 

  6. Chaney AW, Pollack A, Marsha D et al (2000) Primary treatment of cystosarcoma phyllodes of the breast. Cancer 89:1502–1510

    Article  CAS  PubMed  Google Scholar 

  7. Kapiris I, Nasiri N, A’Hern R et al (2001) Outcome and predictive factors of local recurrence and distant metastases following primary surgical treatment of high-grade malignant phyllodes tumors of the breast. Eur J Surg Oncol 27:723–730

    Article  CAS  PubMed  Google Scholar 

  8. Ellis IO, Humphreys S, Michell M et al (2001) Guidelines for non-operative diagnostic procedures and reporting in breast cancer screening, Sheffield: NHS Cancer Screening Programmes. Available at http://www.cancerscreening.nhs.uk/breastscreen/publications/nhsbsp50.pdf

    Google Scholar 

  9. Cecen E, Harmancioglu O, Balci P et al (2008) Phyllodes tumor of the breast in an adolescent girl. Pediatric Hemat Oncol 25:79–82

    Article  Google Scholar 

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Correspondence to Alejandro Rodríguez Ogando.

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Ogando, A.R., López, T.F., Castaño, M.J.R. et al. Cystosarcoma phyllodes of the breast: a case report in a 12-year-old girl. Clin Transl Oncol 12, 704–706 (2010). https://doi.org/10.1007/s12094-010-0581-x

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  • DOI: https://doi.org/10.1007/s12094-010-0581-x

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