Treatment of Phyllodes Tumor of Breast in Local Recurrence
Local recurrence represents a clinically significant event in the course of phyllodes tumour of the breast. Its management requires careful reassessment of histological grade, prior treatments received, and surgical margins — with the approach varying across benign, borderline, and malignant subtypes.
Clinical scenario
Locally recurrent phyllodes tumour of the breast — re-excision with appropriate margins is the cornerstone of management for all histological grades. The specific post-operative strategy depends on the grade of recurrence and the treatments previously administered.
Treatment approach (partial overview)
In cases of locally recurrent phyllodes tumour, surgical excision remains the primary intervention. For malignant recurrences, an adjuvant approach may be incorporated following surgery — depending on what has already been received. The full structured protocol, including the complete decision algorithm and eligibility criteria, is available below.
References
DOI: 10.1093/bjs/znaf152
Locally recurrent PT should be treated with further surgical excision and with appropriate excision margins for benign, borderline, and malignant types (evidence/grade V/A).
In recurrent malignant PT, adjuvant radiotherapy should be considered, after surgical excision, if not previously received (evidence/grade V/A).
View source ↗