Diagnosis prognosis and therapy of phyllodes tumor of the breast

The authors report 4 cases very interesting for the differentil diagnosis of philloides tumor, a brest tumor with a mainly local malignant potential. Such tumors althrough presenting histologic clinical and instrumental features which allow for a presumtive pre-surgical diagnosis often has characteristics comparable to other breast pathologies with a different natural history. the authors after analyzing clinical mammographic echographic and histological features of the tumorsuggest the most appropriate therapy for the local control of the lesions. Surgical excission shoud be carried at least one centimeter deep into the normal tissueto prevent local relapse related to an incomplete enucleation. Infact the tumor is only apparently capsulated .An adequate clinical and instrumental follow-up for the early diagnosis of the early occurrent relapse is mandatory.