Objectives:

Phyllodes tumors are rare breast tumors and challenges still exist in diagnosis and treatment. In this study we aimed to present our surgical approach and results of the patients with definitive diagnosis of phyllodes tumors.

Patients and Method:

Medical records of thirteen patients with final pathology of phyllodes tumor who had been operated in Acıbadem Bakırköy, Maslak and International Hospital General Surgery Department between 2010 and 2013 were reviewed retrospectively. Demographic data along with clinicopathological features of the patients and type of surgery were analyzed.

Results:

Median age of the patients with benign and borderline phyllodes tumors were 35 (24-47) and 31 (21-79), respectively. Median size of the tumor was 3.7cm (1.5-5.5cm) in the benign phyllodes groups and 5.2cm (2.4-12cm) in borderline phyllodes group. Ultrasonography, mammography and breast MRI was used in 13 (100%), 4(37%) and 2 (15.3%) patients, respectively. The majority of the patients underwent excisional biopsy for definitive diagnosis. Three patients (23%) were re- operated to achieve safe surgical margins. In pathological examination, 4 tumors were found to be borderline, and 10 tumors were found to be benign phyllodes tumors. There was no malignant phyllodes tumor. None of the patients has a local or systemic recurrence in a median follow-up of 12 (2-24) months.

Conclusion:

Wide excision with safe surgical margins is the preferred therapy as well as it is necessary for precise diagnosis in phyllodes tumors of breast.

Keywords: