Malignant cystosarcoma phyllodes.

摘要: This study reviewed 26 women who had resection of a malignant cystosarcoma phyllodes. Clinical presentations were palpable mass, 25; pain, 11; and ulceration, 2. Definitive surgical therapy was radical mastectomy (RM), 2; modified (MRM), 14; total (TM), 4; partial (PM), 6. Tumors ranged in size from 1-20 cm (median, 7 cm). Eight patients developed recurrent disease after 10-45 months. Local recurrence more likely TM PM than MRM RM (P<0.05). Patients local only treated by wide re-excision, all such are alive with no evidence at 5-25 years. Only one 16 undergoing axillary dissection involved lymph nodes