Understanding Recovery After Phyllodes Tumor Surgery

Phyllodes tumors are typically benign growths that emerge in the breast, necessitating surgical intervention for removal. The average recovery period following surgery ranges from 2 to 6 weeks, depending on the type of procedure performed.

Phyllodes tumors are relatively uncommon and predominantly affect individuals assigned female at birth, especially in middle adulthood. These tumors develop in the stroma, the supportive connective tissue of the breast, which consists of ligaments and fatty tissue. While most phyllodes tumors are noncancerous, their rapid and potentially large growth often leads healthcare providers to recommend surgical removal for safety.

The treatment for phyllodes tumors generally involves surgery, with the choice between two main types:

• Lumpectomy
• Mastectomy (Partial or Total)

A lumpectomy entails excising the tumor and a small margin of surrounding tissue, thereby aiming to preserve as much breast tissue as possible. Following this procedure, changes in breast size or shape are generally minimal and often not noticeable. Lumpectomy is typically the preferred option for small, noncancerous tumors.

When a tumor is too large for lumpectomy, a partial mastectomy may be performed. This involves the removal of a larger amount of breast tissue while still prioritizing preservation of the breast's functionality and appearance.

A total mastectomy, sometimes referred to as a simple mastectomy, involves the complete removal of the breast along with the tissue covering the underlying chest muscles. In some cases, the nipple may also be removed.

Most patients can expect to fully recover from phyllodes tumor surgery within 6 weeks, assuming no complications arise.

Lumpectomy or Partial Mastectomy

Total Mastectomy

Surgery is the primary treatment for phyllodes tumors due to their rapid growth. In some cases, patients might undergo radiation therapy following surgery if the tumor is determined to be cancerous or borderline cancerous.

The outlook for individuals undergoing surgery for phyllodes tumors is generally favorable, with a reported 10-year survival rate of approximately 87%. However, the prognosis can worsen if the cancer metastasizes. It's noteworthy that less than 30% of phyllodes tumors are classified as cancerous. The recurrence rates are as follows:

• 10–17% for benign tumors
• 14–25% for borderline tumors
• 23–30% for cancerous tumors

How much time off work is needed after a lumpectomy?

Most individuals can return to their normal activities within 2 weeks of a lumpectomy.

Can a phyllodes tumor cause fatigue?

Fatigue may occur, particularly if there is an underlying cancer diagnosis or during the recovery process.

What are the surgical risks associated with phyllodes tumor removal?

The risks associated with phyllodes tumor surgeries are generally low. However, approximately 20% of patients may experience a seroma (a fluid collection under the skin), and around 8% may develop an infection post-mastectomy.

How is a phyllodes tumor surgically excised?

Phyllodes tumors are typically removed through lumpectomy or mastectomy, depending on their size and characteristics.

Phyllodes tumors necessitate surgical intervention due to their propensity for rapid growth. Small tumors may be effectively treated with a lumpectomy, while larger tumors might require more extensive procedures such as a mastectomy. Most patients can anticipate a return to regular activities between 2–3 weeks following a lumpectomy and 3–6 weeks after a total mastectomy.