Memenin Filloides Tümörlerinin Klinikopatolojik Özellikleri

Year 2020, , 91 - 95, 30.08.2020

Saliha Karagöz Eren , Yunus Dönder , Tamer Ertan , Ebru Akay , Alaettin Arslan

https://doi.org/10.18678/dtfd.710317

Abstract

Amaç: Memenin filloides tümörleri nadir görülen meme tümörleridir ve tüm meme neoplazmlarının %1’inden daha azını oluştururlar. Bu çalışmanın amacı filloides tümör nedeniyle hastanemizde opere edilen olguların klinikopatolojik özelliklerini irdelemektir.

Gereç ve Yöntemler: Histopatolojik olarak 9 yıllık süre içerisinde filloides tümör tanısı konulan 16 olgu retrospektif olarak hastane tıbbi kayıtlarından incelendi.

Bulgular: Yaş ortalaması 45,6±15,3 yıl olan 16 kadın hasta vardı. Preoperatif tanı için 5 olguya manyetik rezonans görüntüleme yapıldı ve 4'ü filloides tümör olarak raporlandı, bu hastaların tümü histopatolojik olarak yüksek gradeli filloides tümörlerdi (borderline veya malign). Preoperatif dönemde tanı amaçlı kor biyopsi 14 hastaya yapıldı ve iki hastaya histopatolojik olarak filloides tümör tanısı konuldu. Altı hastada hipersellüler fibroadenom ve filloides tümör arasında ayrım yapılamadı. Meme koruyucu cerrahi 10 (%62,5) hastada en sık yapılan operasyon tipi olup, meme koruyucu cerrahi yapılan ve cerrahi sınır pozitif gelen üç hasta tekrar ameliyat edildi. Patolojik tanı sırasıyla yedi (%43,8), beş (%31,3) ve dört (%25,0) hastada benign, borderline ve malign idi. Postoperatif patoloji sonuçlarına göre ortanca tümör çapı 6 cm olarak ölçüldü. Ortanca takip süresi 36 aydı. Bu sürede sistemik metastaz ya da lokal nüks görülmedi.

Sonuç: Sağlam cerrahi sınırla geniş eksizyon, hastalığın cerrahi yönetimi ve lokal rekürrensin önlenmesi için en önemli faktör olarak görünmektedir. Preoperatif dönemde tanı koymak sınır pozitifliğini önleyerek sekonder cerrahi müdahale ihtiyacını azaltmaya katkıda bulunur.

Keywords

Filloides tümör, meme, cerrahi

Clinicopathologic Features of Phyllodes Tumor in Breast

Abstract

Aim: Phyllodes tumors are rare breast neoplasms comprising less than 1% of all breast neoplasms. The objective of this study was to consider the clinicopathological features of phyllodes tumors that underwent surgery in our hospital.

Material and Methods: We retrospectively analyzed the medical records of 16 patients who had histologically diagnosed phyllodes tumors over 9 years.

Results: There were 16 female patients with a mean age of 45.6±15.3 years. Magnetic resonance imaging was performed in 5 cases for preoperative diagnosis, and 4 were reported as phyllodes tumors, all of these patients were having high-grade phyllodes tumors (borderline or malignant) histopathologically. Preoperative core biopsy was performed in 14 patients, and histopathologically phyllodes tumor was diagnosed in two patients. In six patients, differentiation between hypercellular fibroadenoma and phyllodes tumor could not be performed. Breast-conserving surgery was the most common type of operation performed in 10 (62.5%) patients, three patients with positive margins were underwent reoperation. The pathological diagnoses were benign, borderline, and malignant in seven (43.8%), five (31.3%) and four (25.0%) patients, respectively. The median diameter of the tumors was measured as 6 cm after the postoperative pathological analysis. The median follow-up time was 36 months. During this time, there was no local or systemic recurrence.

Conclusion: Wide excision with a clear margin appears to be the most important factor in the management of these tumors and in the prevention of local recurrence. The preoperative diagnosis of phyllodes tumors contributes to decreasing the necessity for secondary surgical intervention avoiding border positivity.

Keywords

Phyllodes tumor, breast, surgery

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