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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

PANTOJA GARRIDO, Manuel; FRIAS SANCHEZ, Zoraida; ALBALAT FERNANDEZ, Rosa  y  GUTIERREZ DOMINGO, Álvaro. Tumor Phyllodes maligno gigante de Mama; neoplasia infrecuente de mal pronóstico. A propósito de un caso clínico. Rev. chil. obstet. ginecol. [online]. 2017, vol.82, n.3, pp.330-337. ISSN 0717-7526.  http://dx.doi.org/10.4067/s0717-75262017000300330.

Those Phyllodes tumors grouped a set of pathologies characterized by presenting an architecture histological stromal and epithelial; divided into benign, borderline or malignant, based on multiple characteristics. Occur most frequently in patients between 35-55 years of age, representing 0.3% - 1% of primary tumors of the breast. Clinically is characterized by the appearance of a mass painless, firm, hard, multilobulated and of growth fast that can get to reach a great size, calling is giant when exceed the 10 cm of length. Phyllodes tumors diagnosis, based on the study pathological radioguided biopsy and breast imaging tests. It surgery conservative or radical, with margins of resection surgical free of disease greater of 1 cm, and the radiation therapy adjuvant on the bedding tumor, are the treatment of choice of this type of tumors. He size of the mass, the type histologically and it involvement tumor of them edges surgical are the main factors of risk of recurrence, that can reach a 40%, being almost always to level local. On the other hand, the probability of developing metastasis to distance presents a greater variability, being more frequent to level lung and bone.

Then, present the case of a patient diagnosed of a tumor Phyllodes malignant giant of mama right (greater of 20 cm) that, after treatment by surgery radical and radiotherapy adjuvant, developed multiple metastasis to distance, receiving currently care palliative, despite those efforts therapeutic multidisciplinary made.

Palabras clave : Phyllodes tumor; breast; mastectomy; radiotherapy.

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