GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS

Detalhes bibliográficos
Autor(a) principal: Belluco, Rosana Zabulon Feijó
Data de Publicação: 2023
Outros Autores: Belluco, Paulo Eduardo Silva, Borges, Victor Hudson de Lacerda, Garcia, Rafaela Debastiani, Santos, Carla Borges, Belluco, Jullia Eduarda Feijó, Reis, Carmélia Matos Santiago
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34635/rpc.892
Resumo: Phyloid Tumors are rare fibroepithelial tumors of the breast, representing less than 1% of all breast neoplasms, affecting women in the age group with the highest incidence between 40 and 50 years. With a variable biological behavior, the spectrum of benign presentation is confused with cellular fibroadenoma and, not the other extreme, the malignant presents similarities with other malignant neoplasms of the breast. Indicate, appear as a palpable, smooth, multinodular, firm, mobile and painless tumor, with abnormal mammographic and ultrasound findings. Tumor growth is usually rapid, with no correlation with increased risk of malignancy. The diagnosis is confirmed by histopathological evaluation. The treatment is eminently surgical, with excision with free margins and even mastectomy, a tumor-dependent extension being indicated. The presence of margins is important, since this contributes to the reduction of local recurrences, very common in this type of tumor. Adjuvant radiotherapy is controversial in the literature, but it appears to reduce recurrence without changing mortality. This article requires 02 cases of Phyloid Tumor, a benign and malignant variant, with which we aim to emphasize the importance of differential diagnosis and adequate surgical treatment, especially less postoperative morbidity.
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spelling GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTSTUMORES FILÓIDES GIGANTES (VARIANTES BENIGNA E MALIGNA): ALTERAÇÕES CLÍNICAS, TRATAMENTO CIRÚRGICO E SEGUIMENTO AMBULATORIAL – RELATOS DE CASOSPhyloid Tumors are rare fibroepithelial tumors of the breast, representing less than 1% of all breast neoplasms, affecting women in the age group with the highest incidence between 40 and 50 years. With a variable biological behavior, the spectrum of benign presentation is confused with cellular fibroadenoma and, not the other extreme, the malignant presents similarities with other malignant neoplasms of the breast. Indicate, appear as a palpable, smooth, multinodular, firm, mobile and painless tumor, with abnormal mammographic and ultrasound findings. Tumor growth is usually rapid, with no correlation with increased risk of malignancy. The diagnosis is confirmed by histopathological evaluation. The treatment is eminently surgical, with excision with free margins and even mastectomy, a tumor-dependent extension being indicated. The presence of margins is important, since this contributes to the reduction of local recurrences, very common in this type of tumor. Adjuvant radiotherapy is controversial in the literature, but it appears to reduce recurrence without changing mortality. This article requires 02 cases of Phyloid Tumor, a benign and malignant variant, with which we aim to emphasize the importance of differential diagnosis and adequate surgical treatment, especially less postoperative morbidity.Os Tumores Filoides são tumores fibroepiteliais raros da mama, representando menos de 1% de todas as neoplasias mamárias, acometendo mulheres na faixa etária de maior incidência entre 40 e 50 anos. Com comportamento biológico variável, o espectro de apresentação benigna se confunde com o fibroadenoma celular e, no outro extremo, o maligno apresenta semelhanças com outras neoplasias malignas da mama. Geralmente, aparecem na forma de tumoração palpável, lisa, multinodular, firme, móvel e indolor, com achados mamográficos e ultrassonográficos anormais. O crescimento tumoral costuma ser rápido, sem correlação com maior risco de malignidade. O diagnóstico é confirmado por avaliação histopatológica. O tratamento é eminentemente cirúrgico, sendo indicada excisão com margens livres e, até mesmo, mastectomia, a depender da extensão tumoral. É importante a presença de margens livres, visto que isso contribui para a redução das recidivas locais, muito comuns nesse tipo de tumor. Radioterapia adjuvante é controversa na literatura, mas parece reduzir a recorrência, sem alterar a mortalidade. Esse artigo descreve 02 casos de Tumor Filoides, variante benigna e maligna, com os quais objetivamos ressaltar a importância do diagnóstico diferencial e adequado tratamento cirúrgico, visando menor morbidade pós-operatória.Sociedade Portuguesa de Cirurgia2023-01-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.892https://doi.org/10.34635/rpc.892Revista Portuguesa de Cirurgia; No 54 (2022): December; 83-89Revista Portuguesa de Cirurgia; No 54 (2022): December; 83-892183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/892https://revista.spcir.com/index.php/spcir/article/view/892/661Copyright (c) 2023 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessBelluco, Rosana Zabulon FeijóBelluco, Paulo Eduardo SilvaBorges, Victor Hudson de LacerdaGarcia, Rafaela DebastianiSantos, Carla BorgesBelluco, Jullia Eduarda FeijóReis, Carmélia Matos Santiago2024-02-22T22:32:24Zoai:revista.spcir.com:article/892Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:10:51.818558Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
TUMORES FILÓIDES GIGANTES (VARIANTES BENIGNA E MALIGNA): ALTERAÇÕES CLÍNICAS, TRATAMENTO CIRÚRGICO E SEGUIMENTO AMBULATORIAL – RELATOS DE CASOS
title GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
spellingShingle GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
Belluco, Rosana Zabulon Feijó
title_short GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
title_full GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
title_fullStr GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
title_full_unstemmed GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
title_sort GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
author Belluco, Rosana Zabulon Feijó
author_facet Belluco, Rosana Zabulon Feijó
Belluco, Paulo Eduardo Silva
Borges, Victor Hudson de Lacerda
Garcia, Rafaela Debastiani
Santos, Carla Borges
Belluco, Jullia Eduarda Feijó
Reis, Carmélia Matos Santiago
author_role author
author2 Belluco, Paulo Eduardo Silva
Borges, Victor Hudson de Lacerda
Garcia, Rafaela Debastiani
Santos, Carla Borges
Belluco, Jullia Eduarda Feijó
Reis, Carmélia Matos Santiago
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Belluco, Rosana Zabulon Feijó
Belluco, Paulo Eduardo Silva
Borges, Victor Hudson de Lacerda
Garcia, Rafaela Debastiani
Santos, Carla Borges
Belluco, Jullia Eduarda Feijó
Reis, Carmélia Matos Santiago
description Phyloid Tumors are rare fibroepithelial tumors of the breast, representing less than 1% of all breast neoplasms, affecting women in the age group with the highest incidence between 40 and 50 years. With a variable biological behavior, the spectrum of benign presentation is confused with cellular fibroadenoma and, not the other extreme, the malignant presents similarities with other malignant neoplasms of the breast. Indicate, appear as a palpable, smooth, multinodular, firm, mobile and painless tumor, with abnormal mammographic and ultrasound findings. Tumor growth is usually rapid, with no correlation with increased risk of malignancy. The diagnosis is confirmed by histopathological evaluation. The treatment is eminently surgical, with excision with free margins and even mastectomy, a tumor-dependent extension being indicated. The presence of margins is important, since this contributes to the reduction of local recurrences, very common in this type of tumor. Adjuvant radiotherapy is controversial in the literature, but it appears to reduce recurrence without changing mortality. This article requires 02 cases of Phyloid Tumor, a benign and malignant variant, with which we aim to emphasize the importance of differential diagnosis and adequate surgical treatment, especially less postoperative morbidity.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-27
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://doi.org/10.34635/rpc.892
https://doi.org/10.34635/rpc.892
url https://doi.org/10.34635/rpc.892
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spcir.com/index.php/spcir/article/view/892
https://revista.spcir.com/index.php/spcir/article/view/892/661
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Portuguesa de Cirurgia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Portuguesa de Cirurgia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
publisher.none.fl_str_mv Sociedade Portuguesa de Cirurgia
dc.source.none.fl_str_mv Revista Portuguesa de Cirurgia; No 54 (2022): December; 83-89
Revista Portuguesa de Cirurgia; No 54 (2022): December; 83-89
2183-1165
1646-6918
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