BREAST SARCOMA
Section snippets
MANAGEMENT
Treatment of primary breast sarcoma is surgical. Controversy exists as to the optimal surgical treatment because the data involving the efficacy of either wide local excision to negative margins or total mastectomy are derived from retrospective analysis involving series of small numbers of patients. The debate stems from retrospective analysis, in which the larger tumors are often treated with mastectomy and the smaller lesions by excision. Margins in the historical series were not always
CYSTOSARCOMA PHYLLODES
Cystosarcoma phyllodes accounts for less than 1% of all breast tumors. The nomenclature represents something of a misnomer in that the lesion is not always associated with cysts and most often does not have the clinical features associated with sarcoma. It derives its name from a description of the lesion over 150 years ago and since that time has been referred to by at least 50 different synonyms.39 Grossly, these lesions have an appearance similar to a fibroadenoma, firm and well
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Cited by (80)
Innovative approach to lymphadenectomy in breast sarcoma
2022, Bulletin du CancerHigh-Grade Spindle Cell Lesions of the Breast: Key Pathologic and Clinical Updates
2022, Surgical Pathology ClinicsCitation Excerpt :The prognosis highly depends on the histologic type, tumor size, and disease stage. Some unfavorable prognostic factors are older age,94,107 tumor size greater than 5 cm107,108, and the presence of tumor spread or metastasis.93,109 The 5-year DFS rates and OS rates for PBS range from 44% to 66% and 49% to 67%, respectively.89,93,105,108,110
Resection and reconstruction following recurrent malignant phyllodes–Case report and review of literature
2017, Annals of Medicine and SurgeryCitation Excerpt :Reinfuss et al. reported that 2.4% of phyllodes tumors in their series clinically infiltrated the pectoralis major muscle [16]. Moore and Kinne recommend extended excision of involved pectoralis muscle, followed by reconstruction of the chest wall with Marlex mesh and methylmethacrylate [17] Post-operative radiation for cases of chest wall infiltration has also been advocated [14]. Our patient presented with extensive chest wall infiltration involving ribs 3 and 4.
Imaging findings of primary breast sarcoma: Results of a first multicenter study
2017, European Journal of RadiologyPrimary breast sarcomas: About 30 cases treated at Salah-Azaiez institute in Tunisia
2017, Cancer/Radiotherapie
Address reprint requests to Michael P. Moore, MD, PhD, Department of Surgery, Columbia Presbyterian Medical Center, 622 West 168th Street, New York, NY 10032
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From the Department of Surgery, Columbia University College of Physicians and Surgeons, New York, New York