RT Journal
A1 Freeman BS
T1 MAnagement of benign cystosarcoma phyllodes
JF JAMA
JO JAMA
YR 1979
FD August 3
VO 242
IS 5
SP 414
OP 414
DO 10.1001/jama.1979.03300050012008
UL http://dx.doi.org/10.1001/jama.1979.03300050012008
AB To the Editor.— 
    I write with reference to the trinity referral regarding "Management of Benign Cystosarcoma Phyllodes," published in QUESTIONS AND ANSWERS (240:1280, 1978). Donald Levitt, MD, condemns the suggestion for a bilateral subcutaneous mastectomy as being neither a good solution for benign cystosarcoma phyllodes nor an adequate treatment for a malignant tumor, and Wende Logan, MD, concurs. Yet, a specific type of subcutaneous mastectomy, which need not be bilateral, has been developed. It has been reported,1 used, and proved efficacious in the treatment of this disease for some years in the hands of competent surgeons. A more recent study, "Total Glandular Mastectomy," was published in a recent issue of the Journal of Plastic and Reconstructive Surgery (62:167-172, 1978).It has been difficult to follow recurrence of cystosarcoma phyllodes by palpation and by mammograms or xeromammograms. Because total glandular mastectomy removes all but the skin and subcutaneous tissue, it is