Oncoplastic Surgery of Phyllodes Tumor of the Breast: Experience at Hermanos Ameijeiras Hospita

Introduction: Oncoplastic surgery of the breast in the treatment of Phyllodes Tumor allows wider oncological margins with better aesthetic results. Objective: To evaluate the different oncoplastic surgical techniques in the treatment of Phyllodes tumor. Method: Descriptive, longitudinal and ambispective study in 21 patients operated on for Phyllodes Tumor at the Ameijeiras Hospital from January 2006 to December 2018. Results: The average age was 49 years. There was a predominance of 42.9% of tumors with intermediate grade of malignancy, 14.3% benign and 43% malignant. The predominant tumor size was greater than 5 cm with 52.7%, followed by tumors between 2 and 5 cm with 28.6%. The surgical technique that prevailed was simple mastectomy in 57.1% and conservative surgery in 42.9%. 47.6% had free surgical margins, 33.3% undefined, 14.3% narrow, and 4.8% infiltrated. This corresponds to a Ki 67 ≤10% in 38.1% of the total. 80% underwent flap reduction mastoplasty, followed by breast implants with mastopexy of the healthy breast and Toreck technique with 9.5% each. Local recurrence occurred in only one patient 3 months after surgery, 2 years later, and then 3 years later. No complications were reported. All patients were satisfied and there were no deaths. Conclusion: Oncoplasty techniques constitute a fundamental pillar in the treatment of Phyllodes Tumor as part of multidisciplinary therapy.