When we talk about breast tumors, most of us are familiar with terms like “benign” or “malignant.” But tucked away in the lesser-known corners of breast cancer care is a rare kind of tumor called a Phyllodes tumor. While these tumors aren’t as common as other types, they carry their own challenges—and most importantly, they require a very personalised treatment approach.
Let’s walk through what makes Phyllodes tumors unique, and why individualised care is the key to successful treatment.
What are Phyllodes Tumors?
Phyllodes tumors are rare breast tumors that form in the connective tissue of the breast (unlike most breast cancers that arise in ducts or lobules). They are usually fast-growing and can appear in women of any age, though they are most commonly diagnosed between ages 35 to 55.
tumors are named “Phyllodes” after the Greek word for “leaf,” because of their leaf-like growth pattern under a microscope. Isn’t that interesting?
They are generally classified into three categories:
1. Benign (non-cancerous)
2. Borderline
3. Malignant (cancerous)
Each of these types behaves differently—and hence, needs a different kind of care.
Why One Size Doesn't Fit All
When it comes to treating Phyllodes tumors, the golden rule is personalisation. Just like every woman’s story is unique, so is the journey of treating this tumor. Here’s how doctors tailor treatments based on the tumor type:
Benign Phyllodes Tumor: Gentle but Watchful
If diagnosed with a benign Phyllodes tumor, the treatment is often surgical removal with a clear margin, meaning doctors remove the tumor along with a small area of healthy tissue around it to ensure nothing is left behind.
In most cases, no chemotherapy or radiation is needed. However, follow-ups are crucial, because even benign tumors can sometimes come back.
Indian Tip: Don’t ignore any lump thinking it’s harmless. Early check-up and removal can prevent future worries.
Borderline Phyllodes Tumor: A Middle Path
This is where things get a little tricky. Borderline tumors are not clearly benign or malignant. For these, doctors may recommend a wider excision—removing a larger area of tissue to make sure the tumor doesn’t return.
In some cases, radiation therapy may be suggested, especially if the tumor is large or returns after surgery. But again, chemotherapy is generally not used.
Smart Move: Ask your doctor about the size and margins of your tumor—these details guide your treatment!
Malignant Phyllodes Tumor: Stronger Measures Needed
Malignant tumors act more aggressively and can spread to other parts of the body, although this is still relatively rare.
Here, treatment starts with surgery—either a wide excision or sometimes even a mastectomy (removal of the entire breast) if the tumor is large.
Radiation therapy is often added to reduce the risk of recurrence. Chemotherapy is still a topic of discussion and is used only in selected cases, especially if the tumor has spread.
Word of Comfort: Even with malignant Phyllodes, many women recover well with timely and proper care.
The Power of Individualised Care
Why is personalised care so important in Phyllodes tumors?
Because:
1. The tumor’s behavior varies from type to type.
2. Its recurrence risk is different.
3. The treatment goals may range from cure to prevention of regrowth.
Modern breast cancer care in India is now moving towards precision treatment, where doctors look not just at the disease but also at the woman behind it—her age, health, preferences, and life goals.
Dr. Pragati Singhal
