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Information Journal Paper

Title

Case Report: Malignant phyllodes Tumor of the Breast; Presentation of an Uncommon Case and Review of the Literature

Pages

  93-96

Abstract

 Background: Phyllodes tumours are rare fibroepithelial neoplasm of connective tissue of the breast accounting for 0. 3-1% of all breast tumours with 10% of them being malignant. They resemble fibroadenomas clinically and can be mistakenly ignored. Case presentation: A 38-year-old unmarried Philipino lady presented to the primary health center with a mass in the right breast for the past year. Over the preceding 6 months, it had progressively increased in size and pain. On examination, a 5 x 3 cm firm and lobulated mass was palpated in the right upper outer quadrant. Ultrasound scan showed a solid 4. 25 x 3. 3 x 2. 4 cm mass with heterogeneous mixed echopattern. She was referred to Surgery department where an ultrasound-guided core biopsy showed a lesion suspicious for benign Phyllodes tumor. An excision biopsy revealed three foci of malignant Phyllodes on the background of fibroadenoma. A staging CT was performed which showed no evidence of lymph node involvement or distant metastasis. A simple mastectomy was performed and histopathology confirmed the diagnosis of malignant Phyllodes tumor. Postoperatively, the patient is on regular follow up in the breast clinic and physiotherapy department. Conclusion: Phyllodes tumor bears specific clinical characteristics and should be considered as a differential diagnosis in any mass lesion of the breast. . Diagnosis and management are crucial in Phyllodes tumor because of their malignant potential recurrence. Clinicians should be competent in distinguishing between fibroadenoma and a Phyllodes tumor. Lastly, given the rarity of Phyllodes tumors, there is a need to establish guidelines to incorporate regular follow up for early detection of distant metastasis.

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    Cite

    APA: Copy

    Iqbal, Sumaiya, Iqbal, Juwairiya, Nowshad, Nowfala, & Mohammad, Khadeeja. (2020). Case Report: Malignant phyllodes Tumor of the Breast; Presentation of an Uncommon Case and Review of the Literature. ARCHIVES OF BREAST CANCER, 7(2), 93-96. SID. https://sid.ir/paper/774254/en

    Vancouver: Copy

    Iqbal Sumaiya, Iqbal Juwairiya, Nowshad Nowfala, Mohammad Khadeeja. Case Report: Malignant phyllodes Tumor of the Breast; Presentation of an Uncommon Case and Review of the Literature. ARCHIVES OF BREAST CANCER[Internet]. 2020;7(2):93-96. Available from: https://sid.ir/paper/774254/en

    IEEE: Copy

    Sumaiya Iqbal, Juwairiya Iqbal, Nowfala Nowshad, and Khadeeja Mohammad, “Case Report: Malignant phyllodes Tumor of the Breast; Presentation of an Uncommon Case and Review of the Literature,” ARCHIVES OF BREAST CANCER, vol. 7, no. 2, pp. 93–96, 2020, [Online]. Available: https://sid.ir/paper/774254/en

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