A CASE OF PHYLLODES TUMOR OF THE BREAST
Main Article Content
Keywords
Malignant phyllodes tumor, breast lump, cystic solid lesion, mastectomy, Histopathological finding
Abstract
Less than 1% of all breast tumors are phyllodes tumors, which are uncommon fibroepithelial neoplasms. Women in their middle years are typically affected, and they often present with a palpably expanding mass. Only 1.5% of malignant phyllodes tumors spread, despite their tendency to grow quickly. The significance of sufficient surgical margins is further supported by the fact that they are linked to a greater likelihood of recurrence than their benign equivalents. Therefore, early detection of malignant tumors is essential for timely removal and careful monitoring. Here, we describe the case of a 35-year-old woman who had a quickly expanding right breast mass that was pathologically determined to be a phyllodes tumor, despite having no known personal or family history of breast cancer. She underwent lump excision, and the biopsy revealed that it was malignant phylloides. Following that, the patient had a full body PET-CT scan, which revealed soft tissue borders in the right breast that were slightly metabolically active, implicating NAC and the underlying chest muscles. Simple mastectomy was done one and a half months later, and the skin and base were free of tumors, and the portion had negative margins.
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