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Breast Cancer/Can a benign phyllode have malignant cells too?

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Expert: - 6/22/2010


Question
I recently had a core biopsy on a mass in my right breast. The doctor said it was benign but looked like a rare tumor called a phyllode. The exact diagnosis stated Fibroepithelial Neoplasm with benign proliferative changes. 217
with comment

This may represent a fibroadenoma with an exaggerated intracanicular growth pattern versus a benign phyllodes tumor.  Clinical and radiologic correlation are recommended.

I am scheduled to have it removed this week. I know my doctor is the best in my hometown, but i am wondering should I drive a couple of hours to a breast center that handles only breast disease? Can there still be a chance it is malignant?  I need answers quick because I do not want it to grow. Just confused about what to do.
Tammy

Answer
Your lesion should be removed! The important thing is to make sure that it is completely removed. But since it also should be sent to a pathologist in order to know exactly what it is we will also have it checked that everything has been removed. So I think your doctor can take care of this. Good luck!




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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

I also answer questions about Oncology (General Cancer), General History, Military History, Brain Tumors, Colon Cancer

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I'm a medical doctor and specialist in medical oncology and radiation therapy.

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