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Cystosarcoma Phyllodes in Young Women

Cystosarcoma Phyllodes in Young Women Abstract • A total of eight cases of cystosarcoma phyllodes in women under 25 years of age were reported to the Swedish Cancer Registry during a ten-year period (1960 to 1969). Only one of these tumors was malignant. It was successfully treated with simple mastectomy and postoperative radiation therapy. Of the remaining seven cases, six were treated with local excision of the lesion and one with simple mastectomy. In no case, did the tumor recur during a follow-up of an average of ten years. Local excision seems to be sufficient for the benign form of the tumor, whereas simple mastectomy is indicated for the malignant form. Radical mastectomy is indicated only if the tumor has invaded the pectoral fascia. The tumor rarely metastasizes to the axillary lymph nodes. (Arch Surg 113:742-744, 1978) References 1. Müller J: Über den feinern Bau und die Formen der krankhaften Geschvülste . Berlin, G Reimer, 1838, pp 54-60. 2. McDivitt RW, Urban JA, Farrow JH: Cystosarcoma phyllodes . Johns Hopkins Med J 120:33-45, 1967. 3. West TL, Weiland LH, Clagett OT: Cystosarcoma phyllodes . Ann Surg 173:520-528, 1971.Crossref 4. Amerson JR: Cystosarcoma phyllodes in adolescent females: A report of seven patients . Ann Surg 171:849-858, 1970.Crossref 5. Naryshkin G, Redfield ES: Malignant cystosarcoma phyllodes of the breast in adolescence, with subsequent pregnancy: Report of a case with endocrinologic studies . Obstet Gynecol 23:140-142, 1964. 6. Gibbs BF, Roe RD, Thomas DF: Malignant cystosarcoma phyllodes in a pre-pubertal female . Ann Surg 167:229-231, 1968.Crossref 7. Hoover HC, Trestioreanu A, Ketcham AS: Metastatic cystosarcoma phyllodes in an adolescent girl: An unusually malignant tumor . Ann Surg 181:279-282, 1975.Crossref 8. Minami A, Masuda K: Cystosarcoma phyllodes of the breast: A statistical study of 40 cases . Arch Japan Chir 37:571-580, 1968. 9. Treves N, Sunderland DA: Cystosarcoma phyllodes of the breast, a malignant and a benign tumor: A clinicopathological study of 77 cases . Cancer 4:1286-1332, 1951.Crossref 10. Andersson A, Bergdahl L: Prognosis of carcinoma of the breast in women under 25 years of age . Ann Chir Gynaecol Fenn 66:76-78, 1977. 11. Blichert-Toft M, Hansen JPH, Hansen OH, et al: Clinical course of cystosarcoma phyllodes related to histologic appearance . Surg Gynecol Obstet 140:929-932, 1975. 12. Farrow JH, Ashikari H: Breast lesions in young girls . Surg Clin North Am 49:261-269, 1969. 13. Rissanen PM, Holsti P: A retrospective study of sarcoma of the breast and the results of treatment . Oncology 22:258-268, 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Cystosarcoma Phyllodes in Young Women

Archives of Surgery , Volume 113 (6) – Jun 1, 1978

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1978.01370180084013
Publisher site
See Article on Publisher Site

Abstract

Abstract • A total of eight cases of cystosarcoma phyllodes in women under 25 years of age were reported to the Swedish Cancer Registry during a ten-year period (1960 to 1969). Only one of these tumors was malignant. It was successfully treated with simple mastectomy and postoperative radiation therapy. Of the remaining seven cases, six were treated with local excision of the lesion and one with simple mastectomy. In no case, did the tumor recur during a follow-up of an average of ten years. Local excision seems to be sufficient for the benign form of the tumor, whereas simple mastectomy is indicated for the malignant form. Radical mastectomy is indicated only if the tumor has invaded the pectoral fascia. The tumor rarely metastasizes to the axillary lymph nodes. (Arch Surg 113:742-744, 1978) References 1. Müller J: Über den feinern Bau und die Formen der krankhaften Geschvülste . Berlin, G Reimer, 1838, pp 54-60. 2. McDivitt RW, Urban JA, Farrow JH: Cystosarcoma phyllodes . Johns Hopkins Med J 120:33-45, 1967. 3. West TL, Weiland LH, Clagett OT: Cystosarcoma phyllodes . Ann Surg 173:520-528, 1971.Crossref 4. Amerson JR: Cystosarcoma phyllodes in adolescent females: A report of seven patients . Ann Surg 171:849-858, 1970.Crossref 5. Naryshkin G, Redfield ES: Malignant cystosarcoma phyllodes of the breast in adolescence, with subsequent pregnancy: Report of a case with endocrinologic studies . Obstet Gynecol 23:140-142, 1964. 6. Gibbs BF, Roe RD, Thomas DF: Malignant cystosarcoma phyllodes in a pre-pubertal female . Ann Surg 167:229-231, 1968.Crossref 7. Hoover HC, Trestioreanu A, Ketcham AS: Metastatic cystosarcoma phyllodes in an adolescent girl: An unusually malignant tumor . Ann Surg 181:279-282, 1975.Crossref 8. Minami A, Masuda K: Cystosarcoma phyllodes of the breast: A statistical study of 40 cases . Arch Japan Chir 37:571-580, 1968. 9. Treves N, Sunderland DA: Cystosarcoma phyllodes of the breast, a malignant and a benign tumor: A clinicopathological study of 77 cases . Cancer 4:1286-1332, 1951.Crossref 10. Andersson A, Bergdahl L: Prognosis of carcinoma of the breast in women under 25 years of age . Ann Chir Gynaecol Fenn 66:76-78, 1977. 11. Blichert-Toft M, Hansen JPH, Hansen OH, et al: Clinical course of cystosarcoma phyllodes related to histologic appearance . Surg Gynecol Obstet 140:929-932, 1975. 12. Farrow JH, Ashikari H: Breast lesions in young girls . Surg Clin North Am 49:261-269, 1969. 13. Rissanen PM, Holsti P: A retrospective study of sarcoma of the breast and the results of treatment . Oncology 22:258-268, 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1978

References