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장일성,고종군 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2
Cystosarcoma phyllodes is a relative rare neoplasm of breast with a unpredictable clinical behavior. We have a retrospective studies of 12 cases of phyllodes tumor from 1988 to 1997, to determine whether histological features correlates with clinical behavior, what operation methodes affects to recurrence. The pathological results revealed benign forms were in 8 cases and malignant forms in 4 cases. Of the growth nature, 10 cases were rapid in nature, but malignant two tumors were not. One of the 4 malignant cases was high grade, others were borderline. 8 cases had been treated conservatively (7 cases, wide tumor excision ; I case, excisional biopsy), and 4 cases had undergone radical operation (2 cases, modified radical mastectomy ; other 2 cases, simple mastectomy). Conclusively, tumor growth & histological features were not correlates with recurrence, and wide resection should to be primary treatment and axillary dissection is not worthwhile.