Volume : VIII, Issue : II, February - 2018

CYSTOSARCOMA PHYLLOIDES IN ADOLESCENT AGE GROUP

Dr. S. C Sharma, Dr. Vipin Agrawal, Dr Ritika Garg

Abstract :

 Cystosarcoma phylloides, generally known as phylloid tumor, is a rare fio epithelial tumor presents as 1% of total east neoplasm. WHO termed it as “PHYLLOID TUMOR” and classified it into benign, borderline and malignant categories.  Usually, it occurs in ages from 35 to 50years but adolescent and elderly women are also affected very rarely. We report 11 cases of histologically proved Cystosarcoma phylloides cases in young girls aging between 10 to 18yrs.  in period from January ’15 to August’17.

MATERIAL AND METHOD –

11 Cases of Cystosarcoma phylloides (proved on histology) were treated in our hospital, age ranging from 10.5yrs to 17 years. Duration of symptoms on an average was 1 and a half years. Size of tumor ranged from 10cm X 8cm at maximum points, all lump except one were neither fixed to skin nor to pectoral fascia. Onlu one case was fixed to skin and had excoriated it.

Result –

Histology – All lumps removed were sent for histopathological examination and all except one were benign in nature, one had increased mitotic activity.

Treatment – Surgical management is the mainstay of treatment. We did wide excision of the tumor, considering the age of patients. Breast was preserved.  Malignant tumor case underwent mastectomy.

Discussion – Histologically Cystosarcoma phylloides is a biphasic tumor, resembling fio adenoma, but hyper cellular intralobular mesenchymal component causes distortion of ductal epithelial structures. The exact cytology of Cystosarcoma phylloides and its relationship with fio adenoma is not clear so far.  Affects women of 35–50 yrs of age.

CONCLUSION –

The pre–operative diagnosis and early surgery are crucial in these young  patients because, very often they report late. Local excision rather than sacrifice of east is advocated. Early excision of fio adenoma may further decrease the incidence of these tumors.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR. S.C Sharma, Dr. Vipin Kumar, Dr Ritika Garg, CYSTOSARCOMA PHYLLOIDES IN ADOLESCENT AGE GROUP, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-2 | February-2018

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