Treatment of phyllode tumors of breast

The data of 22 women with a phyllode tumor of breast operated in our depart ment from 1980 to 1997 were analysed. 11 benign, 7 borderline and 7 malign phyllode tumors were found in accordance to WHO-classification. In conclusi on diameter of tumor is a relevant prognostic factor beside histologic clas sification. Therefore local excision is recommended for benign and borderli ne phyllode tumors smaller than 5 cm. A safety distance of 1 cm is claimed. Benign or borderline lesions greater than 5 cm and all malign require a si mple mastectomy. Only recurrence smaller than 5 cm after excision of benign and borderline phyllode tumor should excisised oncemore. Metastasis have t o be cured by surgical therapy.