RESUMO
Resumen OBJETIVO: Exponer la experiencia de 12 años de la Unidad de Oncología del Hospital General de Puebla Eduardo Vázquez N en el tratamiento de pacientes con tumor filodes. MATERIALES Y MÉTODOS: Estudio longitudinal, retrospectivo, observacional y clínico efectuado en pacientes con diagnóstico histopatológico de tumor filodes atendidas entre los meses de enero de 2009 a diciembre de 2021 en la Unidad de Oncología del Hospital General de Puebla. Variables de estudio: incidencia, edad al momento del diagnóstico, localización y técnica quirúrgica aplicada. Para determinar las variables entre grupos independientes se aplicaron medidas paramétricas. RESULTADOS: Se revisaron 37 expedientes de pacientes con diagnóstico de tumor filodes. Se obtuvo una incidencia institucional de 1.4%, de la que 18.9% correspondió a tumor maligno. La edad promedio de las pacientes fue de 39.4 (límites 13 a 61 años). En dos casos se encontró asociación con el embarazo. En términos generales el tratamiento fue quirúrgico, con mastectomía simple y tumorectomía, con recurrencia en seis casos. CONCLUSIONES: Si bien la incidencia del tumor filodes es baja, siempre es importante considerar su existencia como alternativa para el diagnóstico de tumores de mama. El tratamiento quirúrgico con mastectomía simple ha reportado buena respuesta, con bajas tasas de recurrencia.
Abstract OBJECTIVE: To present the 12-year experience of the Oncology Unit of the General Hospital of Puebla Eduardo Vázquez N in the treatment of patients with phyllodes tumor. MATERIALS AND METHODS: Longitudinal, restrospective, observational and clinical study carried out in patients with histopathological diagnosis of phyllodes tumor attended from January 2009 to December 2021 in the Oncology Unit of the General Hospital of Puebla. Study variables: incidence, age at diagnosis, location and surgical technique applied. Parametric measures were applied to determine the variables between independent groups. RESULTS: Thirty-seven files of patients with a diagnosis of phyllodes tumor were reviewed. An institutional incidence of 1.4% was obtained, of which 18.9% corresponded to malignant tumor. The mean age of the patients was 39.4 (limits 13 to 61 years). In two cases an association with pregnancy was found. In general terms, treatment was surgical, with simple mastectomy and lumpectomy, with recurrence in six cases. CONCLUSIONS: Although the incidence of phyllodes tumor is low, it is always important to consider its existence as an alternative for the diagnosis of breast tumors. Surgical treatment with simple mastectomy has seemed to have a good response, with low recurrence rates.
RESUMO
BACKGROUND: Phyllodes tumors occur with a frequency of 0.3- 0.9% and are rare in young women. Their clinical presentation is unilateral and behavior and management are unclear. We present a phyllodes tumor in an 11-year-old female and we reviewed the literature regarding this pathology. CASE REPORT: We present the case of an 11-year-old female with a diagnosis of phyllodes tumor. Her disease began 4 months previously. We made an incision biopsy followed by simple mastectomy. Histological report demonstrated benign phyllodes tumor. The patient is currently disease free after 1 year. CONCLUSIONS: Small phyllodes tumors can be excised with a 1-cm surgical border, whereas larger phyllodes tumors are treated with simple mastectomy. Precise pathological evaluation is necessary to plan a better surgical approach and to determine recurrence possibility.