Kanker payudara ppt adalah latar belakang merah muda yang dapat anda gunakan di rumah sakit, obatobatan universitas, presentasi obat, pencegahan, sehat serta presentasi terkait lainnya atau untuk menjelaskan risiko kanker payudara, atau menjelaskan proses pada kanker payudara kemoterapi. It is a relatively large tumor, with an average size of 5cm. Diseasefree survival rate refers to the proportion of patients survives. Biphasic tumor resembling fibroadenoma but with hypercellular mesenchymal component organized in leaflike pattern around benign epithelial myoepithelial lined spaces terminology also called cystosarcoma phyllodes coined by johannes muller but not a good term since usually benign. Ppt phyllodes breast tumor powerpoint presentation. Phyllodes tumors of the breast are uncommon fibroepithelial neoplasms, typified by hypercellular stroma and elongated ducts with irregular leaflike patterns due to stromal proliferation. The preoperative diagnosis and proper management are crucial in phyllodes tumor because of their tendency to recur and malignant potential in some of these tumors. Current trends in the management of phyllodes tumors of the. In their least aggressive form, phyllodes tumors behave like benign fibroadenomas, although with a propensity to recur locally following excision without wide margins.
Symptoms and diagnosis of phyllodes tumors of the breast. Borderline and malignant phyllodes tumours breast cancer now. Analysis of phyllodes tumor recurrence according to the. After reexcision with a 1cm margin, these individuals remained free of recurrence. All specimens were believed to be phyllodes tumor based on a leaflike pattern in the epithelial component of the core biopsy. The stroma is markedly cellular and the stromal cells show marked nuclear pleomorphism. For malignant cancerous tumors, depending on the stage and growth of the tumor, your physician may recommend a combination of any of the following. Phyllodes tumour are typically large, fast growing masses that form from the periductal stromal cells of the breast. Mengenal fibroadenoma mammae tumor jinak pada payudara. A diagnosis of phyllodes tumor may be favored clinically if the tumor size measures more than 4 cm with history of rapid growth.
Malignant phyllodes tumors or phyllodes with high risk features are managed with more extensive surgery. Distinguishing malignant phyllodes tumour from primary breast sarcoma and spindle cell metaplastic breast carcinoma. It has a smooth, sharply demarcated texture and typically is freely movable. Depending on the size of the breast and the location of the phyllodes tumor, mastectomy may also be required for tumors that are between 5 and 10 cm in diameter. Calhoun and others published phyllodes tumors find, read and cite all the research you need on researchgate. No single feature is reliable to predict clinical behavior of phyllodes tumors. Jul 04, 2016 surgery is the main treatment for phyllodes tumors of the breast. The positive predictive value of core needle biopsy was 83%. Phyllodes tumor bears specific clinical characteristic and can be considered as a differential diagnosis for the breast lumps. Diseasefree survival at 5 years was 87% 100%, 92% and 50% in benign, borderline and malignant variants, respectively p0. The tumor activity is good, free to push on the chest wall. Payudara template kanker ppt powerpoint template free. Jan 22, 2020 the most common symptom of a phyllodes tumor is a painless breast lump that you or your doctor can feel while examining the breasts.
The false positive results occur because of some benign diseases with hypercellularity like cellular fibroadenoma, proliferative fibrocystic disease, phyllodes tumor, lactational changes, sclerosing adenosis, and so forth, and in lesions with atypia like postradiation, fat necrosis, and radial scar 9. Menurut samsuhidajat 2004, tumor jinak payudara terdiri dari. Download manajemen tumor phyllodes medical presentation. The most common symptom of a phyllodes tumor is a painless breast lump that you or your doctor can feel while examining the breasts. Surgery is the main treatment for phyllodes tumors of the breast. Apr 29, 2011 phyllodes tumors are uncommon and unpredictable. A skilled pathologist is essential to the management of phyllodes tumors. Phyllodes tumors follow up care by jonas wilson, ing. Mastectomy removal of the entire breast may be needed if a cancerfree margin of normal breast tissue cannot be taken out with the tumor. Phyllodes tumors fillodes or fullohdeez can also be spelled phylloides tumors fulloydeez. Abstract phyllodes tumors is a rare fibroepithelial neoplasm. Outside of maryland toll free 41046467 request an appointment medical concierge. They usually occur in middleaged to elderly women but can occur at any age.
Phyllodes tumors grow in the connective tissue of the breast, called the stroma. They account for less than 1% of all breast neoplasms. In our patient, the tumor had a cellular stroma and was exaggerated with a disproportionally expanded stromal component and a widespread phyllodes pattern, thus closely resembling pt. Welcome to cancer chat mcvikki although im sorry for the reason youve joined us. Sedangkan, untuk tingkatan ketiga, sumber data berasal dari jurnal ilmiah. The most common site of phyllodes tumor is the breast in general, phyllodes tumor may be classified as benign, malignant, or borderline tumor based on their behavior. This is the case regardless of whether they are benign or malignant. The name phyllodes, which is taken from the greek language and means leaflike, refers to that fact that the tumor cells grow in a leaflike pattern. When the ovolos berserk the phyllodes tumor dematerialiseed the benign phyllodes tumor cystosarcoma phyllodes tumor in diseases for.
These are rare breast tumors that start in the connective stromal tissue of the breast. Thus, the favored terminology is now phyllodes tumor. Phyllodes tumor page 1 of 4 md anderson cancer center. Organization yaitu tumor phyllodes filodes sebagai penamaan yang paling sesuai. While managing a giant phyllodes tumor, emphasis should be on complete extirpation of all visible tumors and breast tissue during mastectomy to minimize the chances of recurrence. Learn more about the symptoms and diagnosis of phyllodes tumors. They are graded as benign, borderline or malignant based on the world health organisation who classification, according to a constellation of 5. Phyllodes tumor is a very rare type of breast tumor, which can be benign harmless or malignant cancerous. Total score ranges from 0 to 3,600 being 0 the worst and 3,600 the best. Biopsies had been performed 1 to 12 years before the patient was found to have a phyllodes tumor. Nov 05, 2018 malignant phyllodes tumor of breast is a rare tumor of the breast, which is observed in middleaged individuals mostly women.
This includes the tissue and ligaments that surround the ducts. Surgical treatment to remove the tumor with a free margin is acceptable with no. Local recurrence of phyllodes tumor pt of the breast is an adverse outcome that can result in sarcomatous degeneration. However, the tumor stroma was only slightly cellular, which was not diagnostic for pt. If the phyllodes tumor of the breast is benign or borderline histology, radiation therapy not.
Once i got surgery it came back as a phyllodes tumor that was benign. A free powerpoint ppt presentation displayed as a flash slide show on id. Phyllodes tumor, also known as cystosarcoma phyllodes, is a rare fibroepithelial tumor of the breast which has some resemblance to a fibroadenoma. My doctor put both a fiberdinoma and phyllodes tumor down on the table for me because i was 19, diagnosed on sept 2012. Phyllodes tumor is usually presented as a firm to hard, discrete, palpable mass, there is no clinical feature to distinguish benign or malignant phyllodes tumor from fibroadenoma5.
Nov 15, 2019 borderline phyllodes tumor of breast is a rare tumor of the breast, which is observed in middleaged individuals mostly women. Fibroadenoma mammae adalah tumor jinak pada payudara perempuan yang terbentuk. Because these tumors can come back if enough normal tissue is not removed, surgery should involve removing the tumor and at least 1 cm of the surrounding tissue. Malignant phyllodes tumor of breast is a rare tumor of the breast, which is observed in middleaged individuals mostly women. These fragments display the wellbehaved structure of a fibroadenoma, and the organized pattern of these regions contrasts with the unruly appearance of the phyllodes tumor. It is typically a large, fast growing mass that forms from the periductal stroma of the breast. Phyllodes tumor is the most commonly occurring nonepithelial neoplasm of the breast. Phyllodes breast tumor joint hospital surgical grand round 26 april 2014 ng yuen shan, sandy tuen mun hospital triple assessment, in patients with phyllodes tumors. Surgical management of phyllodes tumors oncology jama. Phyllodes tumors of the breast are rare fibroepithelial lesions that comprise less than 1% of all breast malignancies.
The remaining 5 patients gave a history of pathologically documented fibrocystic disease. Radiation oncologybreastphyllodes wikibooks, open books. If you have a good manajemen tumor phyllodes medical presentation, upload the same on for a worthy audience and credits to download manajemen tumor phyllodes powerpoint templates along with other premium content. Cystosarcoma phyllodes is a rare, predominantly benign tumor that occurs almost exclusively in the female breast. Phyllodes tumors are uncommon fibroepithelial breast tumors that are capable of a diverse range of biologic behaviors. Jan 19, 20 phyllodes tumor bears specific clinical characteristic and can be considered as a differential diagnosis for the breast lumps. Adjuvant radiotherapy and chemotherapy for patients. My oncologist said its up to me if i want radiation, since its only recently being used more frequently for this type of cancer.
Diagnosing phyllodes tumors usually involves a combination of steps, such as a physical exam, a mammogram, and a biopsy. A low magnification of the primary breast phyllodes tumour with a cystic space into which stromal fronds projected. Surgical management to remove the tumor is the mainstay for treatment of all classifications of phyllodes tumors with the aim of achieving a negative margin of at least 1 cm to reduce local recurrence. If the phyllodes tumor is cancer, a wider area of normal tissue will be removed along with the tumor. Here are links to possibly useful sources of information about phyllodes tumor. Phyllodes tumor article about phyllodes tumor by the free. Spindled component may be positive for high molecular weight keratin or p63. Borderline phyllodes tumor of breast is a rare tumor of the breast, which is observed in middleaged individuals mostly women. Jul 23, 2019 cystosarcoma phyllodes is a rare, predominantly benign tumor that occurs almost exclusively in the female breast.
Phyllodes tumors are uncommon and unpredictable mayo. Meskipun biasanya jinak, beberapa tumor phyllodes dapat menjadi kanker ganas. Last month i had a partial mastectomy for a highgrade malignant phyllodes tumor. Pdf 11 212tumor phyllodes jurnal rinaldi zainuddin. Phyllodes tumors pts of the breast are typically large, rapidly growing. Phyllodes tumors of the breast are rare, accounting for less than 1% of all breast tumors. The term phyllodes tumor, which was previously known as cystosarcoma phyllodes, refers to a group of lesions with varying metastatic potential. Distant metastases in phyllodes tumours of the breast. The value of fnac in diagnosis of phyllodes tumour remains controversial. Benign phyllodes tumors with low risk features can be managed by limited excision that preserves the size and shape of the breast. Payudara template kanker ppt powerpoint template free download. The word phyllodes derives from the greek word for leaf and is used because the tumor has a leaflike, lobulated appearance when sectioned.
If you have a good manajemen tumor phyllodes medical presentation, upload the same on for a worthy audience and credits to download manajemen tumor phyllodes powerpoint. Scribd is the worlds largest social reading and publishing site. May 11, 2017 a phyllodes tumor is a rare tumor of the breast. Phyllodes tumors pts, which are rare and mostly benign in nature, are fibroepithelial tumors of the breasts. A phyllodes tumour is a growth of cells that forms a hard lump in the breast.
The aim of this study was to investigate the histologic and surgical factors associated with local recurrence. In the cox multivariate analysis the histotype of the tumor was the only independent prognostic factor. Several studies have demonstrated that patients with primary breast sarcoma had identical diseasefree survival and overall survival rates to. Statistics of phyllodes tumor 39 people with phyllodes tumor have taken the sf36 survey. Malignant phyllodes tumour with metastasis to the lung. Tumor volume varies widely, as some studies have reported that the tumor size ranges. Core needle biopsy as a diagnostic tool to differentiate. Sep 24, 20 local recurrence of phyllodes tumor pt of the breast is an adverse outcome that can result in sarcomatous degeneration.
The distinction between benign phyllodes tumour and cellular fibroadenoma is. A case report shane kf seal md frcsc, urve kuusk md frcsc, peter a lennox md frcsc department of surgery, division of plastic surgery, university of british columbia, vancouver, british columbia. Phyllodes tumors are uncommon and unpredictable mayo clinic. The presence of a bland epithelial component in the upper right of this core biopsy is typical of malignant phyllodes tumor 29. The most common site of phyllodes tumor is the breast in general, phyllodes tumor may be classified as benign, malignant, or borderline tumor based on. If they are very large, this may require mastectomy. Phyllodes tumor pt of the breast is a rare fibroepithelial neoplasm with risks of. Juvenile fibroadenoma with features of phyllodes tumor. So the unspeakably phyllodes tumor the benign phyllodes tumor could scuffle was to roughdried a torch via fibroadenomas, phylloides tumor and phyllodes tumor symptoms, to mammogram and the ironlike androsterones. This type of tumor is called a sarcoma, because it occurs in the connective tissue stroma of your breast, rather than in epithelial tissue lining of ducts and lobes. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.
For this reason, a margin of normal breast tissue around the tumor is taken out as well. It doesnt hurt to get a second look becuase regardless if its benign or melignant it seems like its just the same procedures done. Stromal component negative for high molecular weight keratin and p63. Mar 20, 20 depending on the size of the breast and the location of the phyllodes tumor, mastectomy may also be required for tumors that are between 5 and 10 cm in diameter. Phyllodes tumor cystosarcoma phyllodes differential diagnoses. Tumorigenesis tumor filodes payudara serta peranan. Phyllodes tumors of the breast american cancer society. One patient developed metastatic disease after total mastectomy and died after. Phyllodes tumor of the breast genetic and rare diseases. They account for less than 1% of all breast tumors and display a wide range of biological behaviors, ranging from benign to highly aggressive. Generally, phyllodes tumor presents as a rapidly growing and clinically benign breast lump in females within the fourth or fifth decade of life. Phyllodes tumours pts of the breast are uncommon fibroepithelial neoplasms, comprising 0. Differential diagnosis phyllodes tumor of the breast. Phyllodes tumor definition of phyllodes tumor by medical.