Phyllodes tumors generally present as a palpable mass or, in women being screened, as an abnormal finding on imaging:
In one third of patients, these tumors grow rapidly and may fill a substantial portion of the breast, causing thinning of the overlying skin and prominent vascularity
Clinical concern for a phyllodes tumor versus a fibroadenoma usually hinges on a history of rapid growth, large tumor size (> 3 cm), and / or older patient age:
However, with increased adoption of breast screening and breast awareness, smaller and asymptomatic lesions are being detected more often
Imaging Findings
Most phyllodes tumors appear as lobulated masses on mammography and ultrasonography:
Phyllodes tumors may, however, have irregular margins on ultrasonography, a finding seen more frequently in borderline or malignant tumors than in benign tumors
Magnetic resonance imaging (MRI) has been used to evaluate patients with phyllodes tumors, but the clinical benefit of this approach is unclear as these tumors are generally well delineated by physical examination and / or sonography, and correlation of tumor size among mammography, ultrasonography, and MRI is high
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 