Management of phyllodes tumour of breast: 5 year experience at Madina Teaching Hospital, Faisalabad.

  • Saira Saleem Madina Teaching Hospital, Faisalabad.
  • Aysha Rehman Madina Teaching Hospital and University Medical and Dental College Faisalabad.
  • Farhan Javed Madina Teaching Hospital and University Medical and Dental College Faisalabad.
  • Irshad Ahmad Madina Teaching Hospital and University Medical and Dental College Faisalabad.
Keywords: Local Recurrence, Metastasis, Phyllodes Tumour, Post operative Radiotherapy

Abstract

Objectives: To determine the oncological outcome of different types of phyllodes tumour (PT) and to analyze the impact of radiotherapy on outcome. Study Design: Experimental study. Setting: Madina Teaching Hospital, Faisalabad, Pakistan. Period: April 2015 to April 2020. Material & Methods: Female patients diagnosed as phyllodes tumour of breast were included and classified into benign, borderline and malignant PT according to WHO criteria. Borderline and malignant PT were further divided into 2 groups; Group A (Surgery alone) and Group B (Surgery + Radiotherapy). Oncological outcome based on local recurrence, distant metastasis and overall survival rate among different types of phyllodes tumour and those patients who received or not received radiotherapy was assessed. Results: In 5 years, 29 patients of phyllodes tumour were studied. 15 (51.7%) patients had benign, 8 (27.6%) malignant and 6 (20.7%) borderline tumour. Mean age of our patients was 39.5 years (range: 25-55 years).The disease free survival rate was 82.8% (100% for benign, 83.4% for borderline and 50% for malignant PT). Malignant histotype and tumour size >6cm were significantly associated with recurrence (p<0.05). In Group A, 4 patients developed local recurrence and 2 of them developed distant metastasis; while in group B only 1 patients developed local recurrence (p=0.2, OR=0.147). Overall survival rate was 93.1%. It was 100% for radiotherapy group compared to 88% for non irradiated patients. Conclusion: Malignant phyllodes tumour and large tumour size is associated with worse prognosis. Post operative radiotherapy is associated with improved local recurrence, distant metastasis and overall survival.

Author Biographies

Saira Saleem, Madina Teaching Hospital, Faisalabad.
FRCS, FCPS, MRCS Associate Professor Surgery

 

Aysha Rehman, Madina Teaching Hospital and University Medical and Dental College Faisalabad.
MBBS, FCPS Senior Registrar Surgery
Farhan Javed, Madina Teaching Hospital and University Medical and Dental College Faisalabad.
MBBS, FCPS Assistant Professor Surgery
Irshad Ahmad, Madina Teaching Hospital and University Medical and Dental College Faisalabad.
MBBS, FCPS Professor Surgery
Published
2021-01-10