Aggressive Surgery for Metastatic Phyllodes Tumor
Author Information
Author(s): Kapali A S Singh, M Deo, SVS Shukla, N K Muduly Dillip K
Primary Institution: BR Ambedkar Institute Rotary Cancer Hospital (BRAIRCH), All India Institute of Medical Sciences (AIIMS), New Delhi, India
Hypothesis
Aggressive surgical resection in the patient discussed may lead to improved survival by improvement in physical and mental well being leading to improved nutritional and immunological status to be eligible for chemotherapy.
Conclusion
Surgical resection may not have a proven role in metastatic phyllodes tumor treatment, but it may provide a better quality of life and potentially improve survival.
Supporting Evidence
- The patient's HDRS score improved from 15 to 3 after surgery, indicating a significant reduction in depressive symptoms.
- Surgery relieved the patient of pain and improved her overall health and quality of life.
- Despite progressive disease, the patient gained appetite and weight post-surgery.
Takeaway
The surgery helped a woman with a serious breast tumor feel much better and live a happier life, even though her cancer was very advanced.
Methodology
The patient underwent radical wide excision with margin negative resection and was assessed using the Hamilton depression rating scale before and after surgery.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 57-year-old postmenopausal woman with a history of recurrent malignant phyllodes tumor.
Digital Object Identifier (DOI)
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