Anatomic pathology selected abstracts
January 2025—The World Health Organization’s diagnostic criteria for malignant phyllodes tumor may miss a significant number of such tumors that have metastatic potential, according to a study conducted by the authors. Therefore, the authors proposed new refined diagnostic criteria for malignant phyllodes tumor (MPT) and conducted a study to validate the refined criteria. Their validation study included 136 borderline phyllodes tumors (BoPTs) and MPT cases that were not included in the initial study. The authors evaluated tumor classifications based on the refined criteria and World Health Organization (WHO) criteria. The revised criteria for MPT were either stromal overgrowth and one or more other features, such as marked stromal cellularity, marked stromal cytologic atypia, or at least 10 mitoses per 10 high-power fields (10 mitoses/10 HPF), or it was absence of stromal overgrowth and one or more other features, such as marked stromal cytologic atypia, at least 10 mitoses/10 HPF, or permeative border.