Phyllodes Tumors

What are Phyllodes Tumors?

Phyllodes tumours of the breast are named after the ’leaf-like’ pattern that they characteristically exhibit under a microscope. These are breast tumors that start in the stromal tissue of the ...

Symptoms

The first symptom for a phyllodes-tumor is a lump in the breast

  • The lump feels smooth to touch.
  • It is freely mobile and may be mistaken for the more common benign tumour fibroadenoma
  • Phyllodes are known to grow rapidly.
  • These are generally painless lumps, but if they become very big they can cause pain   
  • In neglected extreme cases, the tumor can break through your skin leading to an open  sore on the  breast.

Causes

  • There is no definite reason for developing phyllodes.
  • Those who have a tendency for developing phylloides , also have the tendency of recurrence even after surgical removal. Malignant phyllodes tumours are especially notorious for recurrence.

Prevention

There is no prevention against development or recurrence of phyllodes. Therefore, it is even  more important to get regular tests so that such lumps can be detected early, when treatments are more likely to be effective.

How is it diagnosed?

To confirm that you have a phyllodes tumor you may need the following diagnostic tests after a physical examination by the breast specialist.

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How is it treated?

Surgical excision forms the mainstay of treatment for phyllodes.Since phyllodes tumours are notorious to recur, it is advisable to get the surgery done when they are small enough to be removed without needing to remove excess breast tissue. Differ..

  • Lumpectomy

    Simple Lumpectomy: Removes the tumor, along with at least 1 centimeter (0.4 inches) of tissue around it. Removing this extra tissue helps to reduce the risk of the tumor from returning. This procedure safely removes the lump without disfiguring the breast. No extra surgery is required for shaping the breast . This is possible only for small phyllodes tumours.

  • Oncoplastic Surgery

    Large volume excision with oncoplastic surgery to reshape the breast : For a larger tumor, the surgeon needs to remove a larger part of the breast tissue alongwith the lump. This leads to cosmetic disfigurement for which specialist oncoplastic surgical techniques are used to fill the gap created in the breast.

  • Total Mastectomy

    Total mastectomy with or without reconstruction: In this , the whole breast is removed. Our breast clinic specialists will also assist you for a reconstruction surgery if you desire to have one. Total mastectomy is generally needed for malignant phylloides, especially for the larger tumour or those that recur.

  • Chemotherapy

    Conventional chemotherapy and radiotherapy have little if any role to play in treatment.

When do I contact the doctor?


  1. Initially, whenever you feel any lump in the breast

  2. If you have had a lump for many years which is now growing in size

  3. After surgery for a phyllodes, if you feel at any time that the lump is growing back

  4. As a routine follow up after phyllodes surgery, you would be advised six-monthly check-up initially followed by annual check up. The schedule will be individualized for you by your treating doctor

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How does Medanta Provide care?

At Medanta, breast care is approached holistically right from prevention to early screening to treatments. Specialist radiology, surgery, pathology and  oncology services are provided by doctors trained specifically in managing breast disease.

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