Abstract

RÉCURRENT PHYLLODE TUMOR ABOUT A CASE AND LITERATURE REVIEW

Roueijel Mariem*, El azzaoui Jemal, Manar Rhemimet, Nadia chmichi, Najia Zeraidi, Amina Lakhdar, Aziz Baidada and Aicha Kharbach

ABSTRACT

Phyllode tumors of the breast are a rare entity among primary breast tumors. They are defined as bi-tissue tumors with epithelial and conjunctive components, the architecture of which is similar to that of adenofibromas but with a largely predominant connective component. Whatever the form, their evolution is generally unpredictable and it is often characterized by the occurrence of recurrences. Surgical treatment should consist of a wide excision which passes into healthy tissue. Currently, most authors recommend a wide excision with a microscopic margin of one centimeter for all types of benign, borderline or malignant phyllode tumor. Total mastectomy remains reserved for lesions that are highly evolved locally to allow a microscopic margin of one centimeter without significant deformation of the breast, or for multi-recurrent tumors despite adequate margins. axillary dissection is not routinely recommended.

Keywords: Phyllode tumor, Récurrent, diagnosis, treatement.