National surgical patterns of care for primary surgery and axillary staging of phyllodes tumors

The Breast Journal
Norleena Poynter GullettPeter A S Johnstone

Abstract

Phyllodes tumors (PT) are rare and unique in their suspected stromal and epithelial origin, and their propensity to recur despite surgical resection. Current surgical treatment of PT does not include sampling of regional lymph nodes (LNs) as malignant PT infrequently spread to LNs. We hypothesize that, because of substantial experience with common epithelial lesions of the breast, surgeons are more prone to sample LNs in PT patients. We reviewed national surgical patterns of care of axillary LN sampling for PT using the Surveillance Epidemiology & End Results (SEER) registry. SEER data for LN evaluation are available from 1988. The public-access SEER data-base was queried for patients presenting over all 17 registries between 1988 and 2003 with PT of the breast. Data were collated by type of surgery and number of LNs examined, and further analyzed by tumor size of the primary lesion where available; 1,035 cases of PT were identified for the 16-year period. Patients had a median age of 50 (range 12-96). Of the specimens with SEER grade listed, 117 were well-differentiated, 186 moderately differentiated, 79 poorly differentiated, and 132 undifferentiated; 612 (59.1%) cases had specific surgical procedures reported: 191 partial, 2...Continue Reading

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Citations

Oct 30, 2012·International Surgery·James Majeski, Jason Stroud
Jun 25, 2013·Virchows Archiv : an International Journal of Pathology·Juliana GiacomazziPatricia Ashton-Prolla
Mar 3, 2012·Clinical Breast Cancer·Mehmet Asim BilenGerald S Cyprus
Aug 23, 2011·Journal of the American College of Surgeons·Jose M PimientoChristine Laronga
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Jan 22, 2011·The Breast Journal·Eugenie GuillotUNKNOWN Breast Cancer Study Group of the Institut Curie
Mar 20, 2015·ANZ Journal of Surgery·Gelareh Farshid, P Grantley Gill
Jul 12, 2014·Phytopathology·Kennedy Boateng, Kathy J Lewis
Dec 3, 2016·The Breast Journal·Rosemarie Tremblay-LeMayChristine Desbiens
Jan 29, 2020·Annals of Surgical Oncology·Mathias NeronUNKNOWN French Sarcoma Group (GSF-GETO)
Dec 11, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Laura H RosenbergerJames W Jakub
May 15, 2021·OncoTargets and Therapy·Mei Er Tu He Ta Mi ShiYan Qi
Jul 11, 2021·Advances in Pediatrics·Maria E Knaus, Julia E Grabowksi

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