For This Rare Breast Disease, What to
Offer Depends a Lot on the Patient
In the News
SEPTEMBER 26, 2017
Surgeons Discuss Management of Phyllodes Tumors
By Monica J. Smith
Debate Over Margins
The optimal negative margin width for phyllodes tumors is yet to be defined. Recent studies have shown that a margin of 0.1 mm is not inferior to a margin of 1 cm, suggesting that the larger margin is not needed for most patients with phyllodes tumors. Despite this, the National Comprehensive Cancer Network’s current guidelines recommend a 1-cm margin.
Given that the risk for recurrence is so low, Dr. Grange does not remove phyllodes tumors with a margin. After diagnosis by core needle biopsy, she enucleates the tumors, which allows her to confirm a diagnosis of benign phyllodes tumor. This approach also allows the breast tissue to reclaim its space and restores the breast to its original appearance.
What is our opinion
The whole news on www.phyllodes.net
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