Skin Recurrence of a Phyllodes Tumor and Impact of Radiotherapy: A Case Report and Review of the Literature

Abstract

Introduction:Phyllodes tumors (PTs) are rare and are usually associated with local recurrences. Determining appropriate clear margins at surgery, adjuvant chemotherapy, and adjuvant radiotherapy is an ongoing dilemma for oncology professionals. The skin recurrence of a PT is not a commonly described situation in the published literature. Herein, we presented a patient with a skin recurrence of a PT. Case:A 48 year old Turkish woman presented with a lump on her left nipple-areolar complex. She had an anamnesis of a lumpectomy for PT 6 years ago and a nipple-areolar complex sparing mastectomy with immediate silicon reconstruction due to the recurrence of PT 3 years ago. No adjuvant treatment was administered after either of these surgical procedures. A magnetic resonance examination of her breast and a histopathological evaluation revealed the skin recurrence of PT. A nipple-areolar complex excision with 2 cm clear margins and adjuvant radiotherapy was then administered to her as the treatment regimen. Discussion:Surgery is defined as the effective treatment for PT but patients with high risk factors as large tumor size, positive margins and recurrent disease adjuvant treatments must be added.