ABSTRACT
Resumen Introducción: El tumor Phyllodes mamario es una entidad muy poco frecuente, con tendencia a la recidiva local y una tasa de malignización de 5-10%. La base de su tratamiento es la resección quirúrgica. Material y Métodos: Mujer de 32 años diagnosticada de un tumor Phyllodes maligno en mama derecha sometida en otro centro a cirugía conservadora con colocación de expansor y a dos tumorectomías posteriores por recidiva local. Fue referida a nuestro Hospital al presentar una nueva recidiva de gran tamaño (9,2 cm) para valoración de intervención quirúrgica. Resultados: Se realizó exéresis del tumor (remanente de tejido mamario y músculo pectoral mayor) y retirada del expansor con reconstrucción mamaria con colgajo de dorsal ancho en el mismo tiempo quirúrgico. En el momento actual la paciente se encuentra pendiente de iniciar tratamiento radioterápico. Conclusiones: El tumor Phyllodes maligno es una entidad poco frecuente y cuyo manejo terapéutico se basa en la resección quirúrgica con márgenes. De forma adyuvante se puede administrar quimiorradioterapia. Es de gran importancia realizar un manejo multidisciplinar e individualizado de cada caso para ofrecer el mejor pronóstico.
Introduction: Phyllodes tumor is a rare entity, with a high tendency to local recurrence and a malignancy rate of 5-10%. The basis of its treatment is the surgical resection. Materials and Method: We report a 32-year-old woman who was diagnosed of a malignant Phyllodes tumor who had previously underwent conservative breast surgery and expander placement in another center. Two subsequent lumpectomies due to local recurrences were necessary. She was referred to our Hospital for she presented a new large-sized recurrence (9.2 cm) at the retroarelor area for assessment of new surgical treatment. Results: Surgical resection of the tumor (remnant of mammary tissue and pectoralis major muscle) and removal of the expander with immediate breast reconstruction with latissimus dorsi flap was performed. At the present time, the patient is pending radiotherapeutic treatment. Conclusions: Malignant Phyllodes tumor is a rare entity whose therapeutic management is based on margin-free surgical excision. Adjuvant chemoradiotherapy might be administered. It is very important to carry out a multidisciplinary and individualized management of each case to offer the best possible forecast.
Subject(s)
Humans , Female , Adult , Breast Neoplasms/complications , Mammaplasty/methods , Phyllodes Tumor/surgery , Neoplasm Recurrence, Local , Breast Neoplasms/diagnostic imaging , Mammaplasty/adverse effects , Phyllodes Tumor/diagnostic imaging , Breast ImplantsABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Lymphatic Metastasis/diagnosis , Lymphatic Metastasis/genetics , Carcinoma, Adenoid Cystic/genetics , Salivary Glands/cytology , Cervix Uteri/pathology , Therapeutics/instrumentation , Therapeutics/methods , Pharmaceutical Preparations/administration & dosage , Lymphatic Metastasis/pathology , Lymphatic Metastasis/prevention & control , Carcinoma, Adenoid Cystic/diagnosis , Salivary Glands/metabolism , Cervix Uteri/abnormalities , Therapeutics/standards , Therapeutics , Pharmaceutical Preparations/metabolismABSTRACT
Invasive hepatic mucinous neoplasms, previously referred to as cystoadenomas, are rare tumours of the liver. Many patients are asymptomatic and the lessions are found incidentally. Tha aim of this paper is to present a clinic case about a asymptomatic 78 years-old-man with a cystic neoplasm of the liver, founded incidentanlly and treated by surgery.
Subject(s)
Cystadenoma, Mucinous/pathology , Liver Neoplasms/pathology , Aged , Cystadenoma, Mucinous/diagnostic imaging , Cystadenoma, Mucinous/surgery , Humans , Liver/surgery , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/surgery , Male , Pancreatic Neoplasms/pathology , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Aged , Humans , Male , Neoplasms, Cystic, Mucinous, and Serous/complications , Neoplasms, Cystic, Mucinous, and Serous/surgery , Neoplasms, Cystic, Mucinous, and Serous , Liver Neoplasms/complications , Liver Neoplasms/surgery , Liver Neoplasms , Liver Neoplasms/physiopathology , Liver/pathology , Liver , Cystadenoma/complications , Cystadenoma/surgery , Cystadenoma , Cystadenoma, Mucinous/pathologySubject(s)
Humans , Female , Adult , Breast Neoplasms/complications , Breast Neoplasms/diagnosis , Neoplasm Metastasis/diagnosis , Neoplasm Metastasis/pathology , Axilla/pathology , Axilla , Breast Neoplasms/pathology , Breast Neoplasms , Magnetic Resonance Imaging/instrumentation , Magnetic Resonance Imaging/methods , Magnetic Resonance Spectroscopy/methodsABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Cystadenoma, Mucinous/diagnosis , Cystadenoma, Mucinous/surgery , Liver Neoplasms/diagnosis , Liver Neoplasms/surgeryABSTRACT
La formación de los médicos internos residentes en cirugía de la mama es muy variable en España y depende de la especialidad elegida y del centro donde ésta se realice. Los programas formativos han ido variando y se han actualizado dentro de la tendencia actual a la subespecialización. Los datos de una encuesta revelan que, para los residentes, la formación en cirugía de la mama es un área poco atractiva de la que piensan que no reciben una formación adecuada (AU)
Breast surgery training of residents varies greatly in Spain and depends on the specialty chosen and the centre where this is carried out. Training programmes have been changing and have been updated within the current trend for subspecialisation. The results from a survey show that, for residents, training in breast surgery is not very attractive as they think that they do not receive adequate training (AU)
Subject(s)
Humans , Internship and Residency , Mammaplasty/education , Mammaplasty/methods , Teaching/methods , Education/organization & administrationABSTRACT
Breast surgery training of residents varies greatly in Spain and depends on the specialty chosen and the centre where this is carried out. Training programmes have been changing and have been updated within the current trend for subspecialisation. The results from a survey show that, for residents, training in breast surgery is not very attractive as they think that they do not receive adequate training.
Subject(s)
Education/organization & administration , Internship and Residency , Mammaplasty/education , Mammaplasty/methods , Teaching/methods , HumansABSTRACT
The diagnosis of cystadenoma is rare, even more so when located in the extrahepatic bile duct. Unspecific clinical signs may lead this pathology to be misdiagnosed. The need for pathological anatomy in order to distinguish cystadenomas from simple biliary cysts is crucial. The most usual treatment nowadays is resection of the bile duct, together with cholecystectomy and Roux-en-Y reconstruction.
