Abstract 6.  (1)17
 

 

 

Phyllodes Tumours of the Breast in North Eastern Nigeria: A Clinico-pathological Review.

 

H. A. Nggada1, M. A. Lawan2, I. A. Moustafa1 and M. D. Khalil

 

Department of 1Histopathology and 2Surgery

University of Maiduguri Teaching Hospital,

P.M.B. 1414, Maiduguri, Borno State – Nigeria

 

Abstract: This is a retrospective study of 17 patients histologically diagnosed as phyllodes tumours at the University of Maiduguri Teaching Hospital, between January 1990 and June 2005. The study is aimed at characterizing the histopathological features of phyllodes tumor of the breast. The 17 cases of phyllodes tumour, accounted for 1.6% of all breast lesions. The age ranges between 12 and 34 years with a mean age of 20 years (SD±5.6). the predominant age group is the 2nd  decade with 12 (70.6%) patients. All patients presented with beast lump ranging from one to four years duration. 14 patients had unilateral and three bilateral breast lump. The common histological type is benign, 15 (88.2%) and two (11.8%) malignant. Five patients had radical mastectomy and 12 patients has lumpectomy. One of the patients with benign phyllodes tumour had local recurrence after three years of lumpectomy. Phyllodes tumour is predominantly benign breast lesion common in the 2nd decade of life. The benign phyllodes tumour may present with a huge breast and ulceration, which can mimic malignancy and therefore the role of fine needle aspiration cytology and histological diagnoses of breast lesions, cannot e over emphasized. The under diagnosis of benign and malignant phyllodes tumour in our environment need to be emphasized.

Key words: Breast, Phyllodes tumours, Clinicopathological, Diagnosis.

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