Do you ever treat patients with phyllodes tumor of the breast with adjuvant radiation?

Topics: Breast Cancer • Radiation Oncology

Do your post-operative treatment recommendations differ for benign vs. malignant phyllodes tumors of the breast?

Is phyllodes tumor size ever a criterion for post-operative radiation?

Answer from: Radiation Oncologist at Academic Institution

The risk of local recurrence is small for patients with benign phyllodes tumors treated with lumpectomy or mastectomy, even if there are positive margins. Recurrences are almost always benign. Hence, there is no role for adjuvant RT for such patients. The available literature does not allow one to d...

Comments

Radiation Oncologist at Christus St Vincent
Thank you for the update.

Radiation Oncologist at University of Texas Medical Branch
I 100% agree with Dr. @Abram Recht's recommendatio...

Radiation Oncologist at St. Bernards Cancer Center
What dose do you guys use when it does fall under ...

Radiation Oncologist at Beth Israel Deaconess Medical Center
In general, I think these patients are best treate...

Answer from: Radiation Oncologist at Community Practice

There is no good consensus and published guidelines are also not consistent. Sars et al., PMID 36879102 I usually limit RT for borderline and malignant phyllodes after breast-conserving surgery for tumors 4 cm or larger, close margin (and no re-excision possible), or recurrent disease.Afte...

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