CTOS 2009 15 years Experience of Management of Malignant Phyllodes Tumor and Breast Sarcoma at Princess Margaret Hospital Princess Margaret Hospital & Mount Sinai Hospital University of Toronto Nikhilesh Patil, Charles Catton, Brian O’Sullivan, Robert Dinniwell, Anthony Griffin, Peter C Ferguson, Rebecca Gladdy, David McCready, Martin Blackstein, Abha Gupta, Lisa W Le, Peter Chung
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CTOS 2009 15 years Experience of Management of Malignant Phyllodes Tumor and Breast Sarcoma at Princess Margaret Hospital Princess Margaret Hospital &
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CTOS 2009
15 years Experience of Management of Malignant Phyllodes Tumor and Breast Sarcoma at
Princess Margaret Hospital
Princess Margaret Hospital & Mount Sinai HospitalUniversity of Toronto
Nikhilesh Patil, Charles Catton, Brian O’Sullivan, Robert Dinniwell, Anthony
Griffin, Peter C Ferguson, Rebecca Gladdy, David McCready, Martin Blackstein, Abha
Gupta, Lisa W Le, Peter Chung
CTOS 2009
Purpose
•To report the outcomes of Malignant phyllodes tumors (MPT) and breast sarcomas (BS)
CTOS 2009
Methods•Retrospective review (Jan 1991 to Dec 2006) •N = 111•3 Groups 1) MPT :75 (68%)
•2 patients were not offered sx (1 alveolar RMS because of no residual disease after chemotherapy and other large tumor with bleeding – palliative RT)
CTOS 2009
RT details• Rationale for RT : Close/+ margins in lumpectomy/mastectomy (usually deep margin in absence of removal of pectoral fascia). We consider wide margin to be >1-2cm.• N : 53 (48%)• Indication