GIANT PHYLLODES TUMORS (BENIGN AND MALIGN VARIANT): CLINICAL CHANGES, SURGICAL TREATMENT AND AMBULATORY FOLLOW-UP – CASE REPORTS
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
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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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 |
format |
article |
status_str |
publishedVersion |
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 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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