Karnataka PGET Surgery MCQ Answer 16
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In most cases, perform wide local excision with a rim of normal tissue. The lesion should not be "shelled out" as might be done with a fibroadenoma, or the recurrence rate will be unacceptably high.
- If the tumor-to-breast ratio is sufficiently high to preclude a satisfactory cosmetic result by segmental excision, total mastectomy, with or without reconstruction, is an alternative.
- More radical procedures are not generally warranted.
- Perform axillary lymph node dissection only for clinically suspicious nodes. However, virtually all of these nodes are reactive and do not contain malignant cells.
Tags: MCQ, Surgery, Cystosarcoma phyllodes, Phyllodes tumor
Category: Karnataka PGET 2007 MCQs
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