Gravidez e Tumor Filodes Bilateral: Uma Associação Rara

Carvalho, Ary Wanderley de; Almeida, Samara Maria Messias da Silva Pabline Barbosa Lima; Schumaltz, Osterno Queiroz da Silva Luiza Emylce P. R.; Sousa, Juarez Antônio de; Albernaz, Marco Aurélio

doi:10.1590/s0100-72031999000200009

Cited by 2 publications

(5 citation statements)

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“…Previous studies indicated occurrence of phyllodes tumors during pregnancy or lactation as benign, borderline or malignant, and unilateral or bilateral in 14 cases. 1,4–16 The findings of the present case of benign phyllodes tumor with lactational changes is concurrent with a case described previously by Likhitmaskul et al 1 in a 36-year-old pregnant woman who underwent mastectomy 3 weeks postpartum. Generally, phyllodes tumor presents as a relatively circumscribed painless mass.…”

Section: Discussionsupporting

confidence: 88%

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Phyllodes Tumor in a Lactating Breast

Murthy

Raju

Nair

2016

Clin Med�Insights�Pathol

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Phyllodes tumor is attributed to a small fraction of primary tumors of the breast. Such tumors occur rarely in pregnancy and lactation. We report a case of a 25-year-old lactating mother presenting with a lump in the left breast. Core needle biopsy was opined as phyllodes tumor with lactational changes, and subsequent wide local excision confirmed the diagnosis of benign phyllodes tumor with lactational changes. The characteristic gross and microscopic findings of a well-circumscribed lesion with leaf-like fibroepithelial growth pattern and typical nonuniform or diffuse stromal proliferation with periductal accentuation even in the absence of mitotic figures can help clinch the diagnosis. Benign phyllodes is known for its recurrence and requires wide excision and close follow-up. It is vital to identify these lesions even on limited biopsies as therapeutic options differ. This case is presented for its rarity and the diagnostic challenge it poses in limited biopsy.

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Section: Discussionsupporting

confidence: 88%

“…summary of case reports of Phyllodes tumor occurring during pregnancy/lactation 1,[4][5][6][7][8][9][10][11][12][13][14][15][16]. …”

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confidence: 99%

Phyllodes Tumor in a Lactating Breast

Murthy

Raju

Nair

2016

Clin Med�Insights�Pathol

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“…Three articles were in languages other than English and French, consisting of Spanish, 16 Polish, 17 and Portuguese. 18 The first two 16,17 had English abstracts which were used for data extraction. The other one 18 was translated to English via three online translator software including Google translate (https://translate.google.com), Yandex translate (https://translate.yandex.com/translator), and SYSTRAN (http://www.systransoft.com/lp) in order to obtain a more accurate translation and data.…”

Section: Search Resultsmentioning

confidence: 99%

“…18 The first two 16,17 had English abstracts which were used for data extraction. The other one 18 was translated to English via three online translator software including Google translate (https://translate.google.com), Yandex translate (https://translate.yandex.com/translator), and SYSTRAN (http://www.systransoft.com/lp) in order to obtain a more accurate translation and data. There were six case series which included one PT in pregnancy each, three of which contained enough data and were included.…”

Section: Search Resultsmentioning

confidence: 99%

“…The patients' age and gestational age at time of seeking medical attention, time from onset, past medical histories and family history of cancer, as well as side of tumor and the pathologic type related to malignancy of all included cases are demonstrated in Table 1. All tumors had first presented as a breast lump, except in three patients, 11,18,32 one bilateral and benign, 18 one malignant, 32 and one benign. 11 The first clinical picture in these three was breast enlargement.…”

Section: Data Extraction Resultsmentioning

confidence: 99%

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Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

et al. 2020

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Background: Phyllodes tumor (PT) is a rare tumor of the breast, which may occur during pregnancy or lactation. Several studies have reviewed and discussed PT occurring in pregnancy, gathering up to 14 patients. We performed a thorough systematic review of the literature in an attempt to find all reported cases, and identify their common characteristics. Methods: We searched Google scholar, PubMed, Ovid Medline, Scopus and ClinicalTrials.gov with several relevant combinations of keywords, looking for texts or abstracts without any date or language limitations, but using only English keywords. The existing literature only consisted of case reports and series; therefore any paper including one or several cases of PT presenting during pregnancy or breastfeeding was recognized as eligible. Articles with vague description of the tumor which made the diagnosis uncertain, and those lacking data about the tumor and management data were excluded. We contacted authors for more details in cases with incomplete information. Results: After excluding those with very deficient data, we included 37 studies, counting 43 cases. The mean age of the patients was 31 years (21-43 years). Some features were different from usual PT: bilaterality (16.2%), large size (14.2 ± 8.6 cm), rapid enlargement (79.5%), and rate of malignancy (60.5%). Conclusion: Our findings show high rates of bilaterality, large size, rapid growth, and malignant pathology in the reported gestational PTs.

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Gravidez e Tumor Filodes Bilateral: Uma Associação Rara

Cited by 2 publications

References 1 publication

Phyllodes Tumor in a Lactating Breast

Phyllodes Tumor in a Lactating Breast

Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

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