P064: An audit: Phyllodes tumour, what is the recommended excision margin?

AbstractPhyllodes tumours (PTs) of the breast are rare biphasic fibroepithelial neoplasm. They have potentiality to recur and metastasise. Majority of them follow a benign clinical course. We have treated one patient suffering from PT at the out-patient department of Sri Ram Medical & Homoeopathic Research Centre, Gorakhpur, India. After detailed case taking and repertorisation, first Conium maculatum and later on Phytolacca decandra and Calcarea fluorica were prescribed on the basis of individualisation to treat the case. Outcomes were assessed clinically every month for subjective improvement and objectively by ultrasonography reports at every 6-month interval. Gradual improvement was noted over time. The case has been assessed with MONARCH Inventory, which shows ‘definite’ association between the medicine and the outcome.

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Onset of hydronephrosis and lower urinary tract symptoms in a previously healthy young man: Phyllodes tumour of the prostate as a potential diagnosis.

Canadian Urological Association Journal ◽

10.5489/cuaj.1984 ◽

2014 ◽

Vol 8 (7-8) ◽

pp. 561 ◽

Cited By ~ 3

Author(s):

Matteo Ferrari ◽

Umberto Capitanio ◽

Nathalie Rizzo ◽

Massimo Freschi ◽

Francesco Montorsi ◽

...

Keyword(s):

Urinary Tract ◽

Malignant Disease ◽

Specific Antigen ◽

Low Grade ◽

Total Prostate Specific Antigen ◽

Urinary Tract Symptoms ◽

Phyllodes Tumour ◽

Transvesical Approach ◽

Tomography Scan ◽

Lower Urinary

We report the case of a 50-year-old healthy man with early onset of micturition symptoms associated with an elevated total prostate-specific antigen. On physical examination, we found an enlarged prostate; a first-line ultrasound of the urinary tract revealed local disease which covered the entire small pelvis. A computed tomography scan confirmed the presence of a 12.5 × 11.0 × 9.5-cm multicystic prostatic mass, compressing the bladder and pelvic ureters, associated with right hydronephrosis. Renal function was preserved and prostatic biopsies was negative for malignant disease. The mass was completely removed through transvesical approach and histological analysis diagnosed a low-grade phyllodes tumour of the prostate. The patient was free of local recurrence and metastasis 36 months after surgery.

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Benign phyllodes tumour of the prostate: An extremely rare entity

Canadian Urological Association Journal ◽

10.5489/cuaj.2030 ◽

2014 ◽

Vol 8 (7-8) ◽

pp. 548 ◽

Cited By ~ 2

Author(s):

Ozgu Aydogdu ◽

Yusuf Ziya Atesci ◽

Ayhan Karakose ◽

Eren Demirtas

Keyword(s):

Lateral Lobe ◽

Prostatic Hyperplasia ◽

Pathological Examination ◽

Resonance Imaging ◽

Flexible Cystoscopy ◽

Urinary Tract Symptoms ◽

Phyllodes Tumour ◽

The Right ◽

Lower Urinary

Benign phyllodes tumour (BPT) of the prostate is a very rare neoplasm. It is composed of hyperplastic and neoplastic glandular stromal proliferation. Patients with BPT of the prostate generally present with lower urinary tract symptoms and hematuria. BPT of the prostate can potentially cause recurrent obstructive symptoms. Complete transurethral resection (TUR) and close postoperative follow-up is recommended. A 59-year-old man presented with dysuria and obstructive urinary symptoms. Flexible cystoscopy revealed prostatic hyperplasia and a polypoidal lesion originating from the right lateral lobe of the prostate. Magnetic resonance imaging revealed a 3 × 2.5-cm mass lesion in the right lateral lobe of the prostate. TUR of the prostate was performed and the pathological examination revealed benign prostatic hyperplasia and benign phyllodes tumour of the prostate.

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High-grade ductal carcinoma in-situ detected by microcalcification within borderline phyllodes tumour: A report of a case and literature review

10.21203/rs.3.rs-606945/v1 ◽

2021 ◽

Author(s):

Wing Nam Yuen ◽

Joshua Jing Xi Li ◽

Man Yi Chan ◽

Gary M Tse

Keyword(s):

Ductal Carcinoma In Situ ◽

Carcinoma In Situ ◽

Ductal Carcinoma ◽

Surgical Excision ◽

Management Plan ◽

High Grade ◽

Total Mastectomy ◽

Phyllodes Tumour ◽

Phyllodes Tumours

Abstract BackgroundPhyllodes tumour is a rare biphasic neoplasm of the breast that mostly affects middle aged women. Ductal carcinoma in-situ and microcalcifications occurring within phyllodes tumours are documented but are rare findings. Primary surgical excision with adjuvant therapies remains the mainstay of treatment.Case presentationWe report a case of a 42-year-old woman with high-grade ductal carcinoma in-situ within a borderline phyllodes tumour. Radiologically, clumps of microcalcification were detected within the lesion. Local excision followed by total mastectomy with axillary dissection was then performed. No tumour recurrence was detected up to a period of 8 years.ConclusionPresence of microcalcifications within a phyllodes tumour should alert clinicians and pathologists of possible coexisting carcinoma components. Stromal and epithelial components of these lesions should be evaluated separately when formulating a management plan.

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