RT Journal Article
SR Electronic
T1 Surgical management of benign phyllodes tumours of the breast: Is wide local excision really necessary?
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 430
OP 431
DO 10.1503/cjs.017617
VO 61
IS 6
A1 Yiming Qian
A1 May Lynn Quan
A1 Travis Ogilvi
A1 Antoine Bouchard-Fortier
YR 2018
UL http://canjsurg.ca/content/61/6/430.abstract
AB Current guidelines recommending wide local excision (≥ 1 cm margin) for all breast phyllodes tumours regardless of classification are based on retrospective data. Benign phyllodes tumours of the breast are not aggressive. They are often indistinguishable from fibroadenomas on core biopsy and are diagnosed only after excisions without attention to margins. Once the diagnosis is made, the decision to operate and obtain further margins versus wait-and-watch is the dilemma breast surgeons face on a regular basis.