PHYLLODES TUMOR OF THE BREAST - REPORT OF 14 CASES

We report a retrospective analysis of 14 female patients, aged 20 to 6 2 years, old, with phyllodes tumors of the breast. The tumors were loc ated in the right breast in nine patients and their diameter ranged fr om 2.5 to 28 cm. Six mammographies and six needle cytological examinat ion were performed and aided very little to the diagnosis. The preoper ative diagnosis was correct in five patients and the principal differe ntial diagnosis was fibroadenoma. Eight patients were subjected to tum orectomy, three to simple mastectomy, one to a cleaning mastectomy, on e to a modified radical mastectomy and one to a subcutaneous mastectom y. The anatomopathologic study disclosed an increased stromal growth i n two patients and increases stromal cellularity in six cases. Only on e case had more than five mitoses per microscopic field. Phyllodes tum ors are infrequent, their diagnosis requires a high degree of clinical suspicion and they have a benign biologic behaviour.