Phyllodes.The tumor that keeps on growing.

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erayachi
erayachi Member Posts: 11
edited March 2020 in Just Diagnosed

Edit: *Phyllodes

Edit edit: I'm a goofy goober.


First off, I don't even know if I should be posting this in 'Just Diagnosed'. Because it's a diagnosis. And it's not a full diagnosis. And it won't be, for a little while.

I'm diagnosed enough to go under the knife though, apparently.


The medical secretary from my doctor's office called me yesterday morning. I suppose since it was 'good' news, they figured there was no point in calling me in to see my doctor herself, in person. Anyway...

I have a 'phee-loid' tumor. I say that, because I'm 99% certain she pronounced it incorrectly. I did my research on the only other possibility (I couldn't get a hold of them again, don't even get me started on their contact availability/responsibility), a 'keloid', and that...well, it's not that. It is not a dermal scarring/overgrowth problem most commonly found in humans with pigmented skin after some kind of skin injury.

Back on track...so, I've been duly informed that needs to be removed via lumpectomy. No freaking kidding. Back on Feb 5 of this year, it was 2.2cm (about an inch). I can feel it, and I guarantee you, it's at least 1cm or more bigger now. And it's pressing against my skin almost painfully. This thing grows. FAST. Fast enough that now I'm alarmed at what's gonna be left when the surgeon's office actually contacts me.

For those who don't know, phylloids tumors are benign...sorta. They generally are, but cannot be officially diagnosed as such until after the lumpectomy and following pathology of the entire tumor. They can be malignant, or 'borderline' (whatever that means, aside from demanding radiation therapy to make it not borderline anymore). There's like, a 70/30 chance it's benign or one of the latter two.

My mother isn't happy. I'm not either, but she's the one freaking out--and of course, it's a phylloids tumor. What can I tell her? "Wait till after 1/2 my boob is removed and the pathologist tests it." Is this the only kind of tumor that gets a real diagnoses after surgery?

I know there's probably not many here with phylloid tumor experience. I've heard it's rare enough that some pathologists will go years without having a case. So now I'm feeling an odd combination of relieved (that it's not confirmed malignant, I'm cancer-free until told otherwise) and screwed, because this is something that has a high risk of coming back, even after surgery. I'm almost ready to say 'to hell with it', just take 'em both. All of it. I'm all for going way overboard if it means I'm not watching this bizarre thing practically grow overnight in a very, very inconvenient place.

32 years old. Tired, and mostly just annoyed...I don't know what to tell my family.


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  • Moderators
    Moderators Member Posts: 25,912
    edited March 2020

    erayachi,

    Could it be a Phyllodes tumor that you've been diagnosed with? For more information, see our main Breastcancer.org site's pages on Phyllodes Tumors of the Breast.

    We hope this helps.

    --The Mods

  • erayachi
    erayachi Member Posts: 11
    edited March 2020

    Yeah, I've been misspelling it I think. Don't know how I'm not catching onto that, but I am on 4 brain-altering daily medications. That's my reasoning and I'm sticking with it.

    Phyllodes. Somewhere, somehow I read it's also known as phylloid and I ran with it. I'm still in head-banging-against-desk mode. I don't think that's an official stage of mourning, but it should be---the 'Oh FFS, seriously?' stage.

    I'm also blaming the medical secretary who mispronounced it as 'Fee-loid' and not 'phill-loid'. That's my other reasoning, and I'm sticking with it.

    Sigh.


  • Beesy_The_Other_One
    Beesy_The_Other_One Member Posts: 274
    edited March 2020

    erayachi, yes, Cystosarcoma Phyllodes (or Phylloides) are rare. I was 34 when I had mine and like yours, it grew fast: from the size of a small peanut to the size of a large lime in a matter of months. MD Anderson in Houston sees only two cases a year. In 1996 when mine showed up, standard of care was wide excision, so I ended up losing half a breast but now it's usually treated with a lumpectomy. I'm attaching two pages from Susan Love's Breast Book which will undoubtedly help you more than me droning on.

    At age 56 I was diagnosed with Invasive Ductal Carcinoma of the other breast, so by that point I knew both were going--my breast tissue liked growing abnormal cells, it appears. The same surgeon at MD Anderson who did my Phyllodes tumor surgeries (had to go back in a second time for clear margins) did my bilateral mastectomy last year. Do you live by a National Cancer Institute Hospital? It would probably be wise to make sure someone with some experience with Phyllodes tumors looks at your slides.

    image

    image

  • erayachi
    erayachi Member Posts: 11
    edited March 2020

    I swear, I responded to this on my phone last night. Why isn't it here....it took forever to type out! Faaaa


    Anyway.

    Beesy, you're a saint. I never imagined i'd actually find someone who's had this kind of tumor here given its unicorn-like status in the cancer community. Also, that book looks amazingly useful, and thank you very much for sharing that part of it!

    What I don't get is why the statistics in that book differ so much from the American Cancer Society's (and Canadian Cancer Society), and from other studies. I'd like to take those odds, thank you, but ACS is a lot less optimistic. So is the CCS, and World Health Organization, and ....well, anyway this book has the best outlook.

    But that only means I don't know who or what to believe. Statistics suck in general, but I'll just have to assume this kind of tumor doesn't happen often enough to have concrete numbers representing the prognosis of either benign or malignant versions of it. I've essentially resigned myself to knowing nothing of import until after the surgery, after the pathology report.

  • Beesy_The_Other_One
    Beesy_The_Other_One Member Posts: 274
    edited March 2020

    erayachi, there are more of us who've had Phyllodes here than you might think. I could not find much that differed from Susan Love's book on the American Cancer Society, but maybe I just wasn't finding what you were.

    Here's a link to a search of the word Phyllodes and Less Common Types of Breast Cancer on this site: Phyllodes Discussions


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