Cystosarcoma phyllodes of the breast: a case report in a 12-year-old girl |
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Authors: | Alejandro Rodríguez Ogando Tania Fernández López María José Rodríguez Castaño Cristina Mata Fernández Julio Álvarez Bernardi María Cebollero Presmanes |
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Institution: | 1.Department of Pediatrics,Hospital General Universitario Gregorio Mara?ón,Madrid,Spain;2.Department of Pediatrics Oncology Section,Hospital General Universitario Gregorio Mara?ón,Madrid,Spain;3.Department of Gynecology,Hospital General Universitario Gregorio Mara?ón,Madrid,Spain;4.Department of Pathology,Hospital General Universitario Gregorio Mara?ón,Madrid,Spain;5.Madrid,Spain |
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Abstract: | Breast tumors in adolescents are very rare and mostly benign. Fibroadenomas are the most frequent, but within the extensive
differential diagnosis, the phyllodes tumor must be mentioned, which accounts for about 1% of breast tumors and the diagnosis
of which is very rare in patients younger than 20 years. There are no specific symptoms or radiological images to distinguish
phyllodes tumor from fibroadenoma; therefore, histological examination is mandatory for diagnosis. Histology also allows the
classification of phyllodes tumor into benign, borderline, or malignant types for appropriate surgical treatment: freemargin
excision in benign tumors and mastectomy in the other two types. Fortunately, the majority of these tumors are benign, and
treatment maximizes breast conservation with free infiltration margins surgery, given that this fact is the most important
factor to prevent local recurrence. In this article, we describe a rare case of borderline cystosarcoma phyllodes in a 12-year-old
girl. |
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