Locally recurrent breast mass following excision of phyllodes tumor Metastatic disease 1 Pathology should be reviewed to assess for fibroadenoma versus phyllodes (phyllodes benign, borderline and malignant). Phyllodes tumors are most common in women in their 40s, but women of any age can have them. The National Comprehensive Cancer Network (NCCN ) makes no representations or This follows the same breast cancer follow up protocol defined by NCCN guidelines. Malignant phyllodes tumors: a review of 752 cases. Available at: www.nccn.org (Accessed on February 22, 2016). The median follow up was 11 months with a range of 4-33 months. Exact extent of clearance under debate, currently no consensus as to adequate margin width, while 10 mm is generally considered acceptable (NCCN Guidelines: Breast Cancer - Phyllodes Tumor [Accessed 2 July 2020], Ann Surg Oncol 2019;26:2747) Axillary dissection not indicated National Comprehensive Cancer Network (NCCN). Grabowski J, Salzstein SL, Sadler GR, Blair SL. Phyllodes tumors (FILL-odes or full-OH-deez) can also be spelled phylloides tumors (full-OY-deez). Version 2.2016. According to NCCN guidelines wide excision means excision with the intention of obtaining surgical margins ≥1 cm. Updates in Version 2.2016 of the NCCN Guidelines for Breast Cancer from Version 1.2016 include: Those with an associated invasive cancer should undergo adjuvant systemic therapy based on the stage and hormone receptor status, as outlined online, in these guidelines, at www.NCCN.org . Additionally, they recommend cautious use of radiotherapy, particularly in young patients. Without prospective trials to guide management, NCCN also recommends consideration of radiation therapy (XRT). Updates in Version 1.2019 of the NCCN Guidelines for Breast Cancer from Version 4.2018 include: Continued UPDATES General: Recommendations for Lobular Carcinoma in Situ (LCIS-1) were removed from the NCCN Guidelines for Breast Cancer; see the NCCN Guidelines for Breast Cancer Screening and Diagnosis. Patient management was examined using NCCN guidelines to determine the relative adherence of providers to established treatment recommendations . NCCN Guidelines for the Management of Phyllodes Tumor. DCIS-1 Soft Tissue Sarcoma. These are rare breast tumors that start in the connective (stromal) tissue of the breast. 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