Tumor filoides de mama

Dr. Leonel Abud Sánchez
Médico ginecólogo, Jefe Clínico del Servicio de Ginecología, Hospital Clínica Bíblica, San José, Costa Rica.
Miembro del Colegio de Médicos y Cirujanos de Costa Rica.
Costa Rica.

Dra. Jannina Alvarez Quesada
Médico general, Chequeo Médico, Hospital Clínica Bíblica, San José, Costa Rica.
Miembro del Colegio de Médicos y Cirujanos de Costa Rica.
Costa Rica.

Resumen

Se presenta caso de una paciente femenina de 36 años de edad, conocida sana, a quien se le realiza diagnóstico de tumor filoides. Los tumores en mama, en general, representan un desafío diagnóstico para el clínico; y los malignos aún más, debido a su alta prevalencia como causa frecuente de cáncer en mujeres. Este caso presentó la particularidad de no ser sencillo en su diagnóstico, ya que se debió contar con alto grado de sospecha, porque el tumor filoides es prácticamente indiferenciable por imágenes y en ocasiones hasta por estudios patológicos, con respecto al fibroadenoma de mama. Se han establecido criterios para orientar la decisión clínica.

El diagnóstico del tumor filoides representa un reto, como se presentará en el siguiente artículo.

Palabras claves

Tumor filoides- fibroadenoma- ultrasonido de mamas, biopsia por aspiración de aguja fina.

Abstract

It is presented a case of a female patient 36 years old, known as a healthy person, to whom was made a diagnosis of a Phyllodes Tumor. Breast tumors represent in general a diagnostic challenge for the clinician; and the malignant breast tumors even more, due to their high prevalence as a cause of cancer in women. This case presented the particularity of not being simple, because for making the diagnose was needed a high grade of suspicion, due to the lack of characteristics in imaging or pathological studies, that differentiate it from a Fibroadenoma of breast. There have been described some clinical characteristics to orient clinical approach.

Keywords

Phyllodes tumor, Fibroadenoma, breast ultrasound, fine core needle aspiration biopsy.

Bibliografía

Akcakaya, A. et al. (2014) “Unpredictable behavior of breast Phyllodes tumors”. European Review for Medical and Pharmacological Sciences, 18: pp2655-2661.

Balaji, R. & Ramachandran, K. (2009) “Magnetic Resonance Imaging of a Benign Phyllodes Tumor of the Breast”. Breast Cancer; 4: pp189-191.

Harris, J. et al. (2010) “Diseases of the breast”. Lippincott Williams & Wilkins. Fourth Edition; pp781-792.

Huang, C. et al. (2014) “Surgical Treatment of Phyllodes Tumor of the Breast with the Trend”. Journal of Experimental and Clinical Medicine, 6(5): pp161-165.

Kamitani, T. (2014) “Differentiation between benign Phyllodes tumors and fibroids okas of Breast on MR imaging”. European Journal of Radiology, 83: pp1344-1349.

Mishra, S. P.; Tiwary, S. K.; Mishra, M. & Khanna, A. K. (2013) “Phyllodes tumor of Breast: A review Article”. ISRN Surgery; doi: 10.1155/2013/361469

Park, H. et al. (2012) “Long-term Follow-Up Result of Benign Phyllodes Tumor of the Breast Diagnosed and Excised by Ultrasound Guided Vacuum Assiged Breast Biopsy”. J Breast Cancer June, 15(2): pp224-229.

Spitaleri, G. et al. (2013) “Breast phyllodes tumor: A review of literature and a a single center restrospective series analysis”. Elsevier. Clinical Reviews in Oncology/Hematology; 88: pp427-436.

Wang, H. et al. (2014) “Comparison of Clinical Characteristics Between Benign Borderline and Malignant Phyllodes Tumors of Breast”. Asian Pac J Cancer Prev, 15(24):10791-10795.

Youn, I. (2013) “Phyllodes tumor of the Breast: Ultrasonographic findings and diagnostic performance of ultrasound guided core needle biopsy”. Elsevier. Ultrasound in Med&Biol, 39(6): pp987-993.