Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India

Phyllodes tumors are uncommon fibroepithelial neoplasms of breast. Heterologous sarcomatous differentiation of malignant phyllodes tumor (MPT) is a rare phenomenon as shown in the literature. Herein we report a series of nine cases from a tertiary care centre in Eastern India. Patients demographic d...

Full description

Bibliographic Details
Main Authors: Mamita Nayak, Susama Patra, Pritinanda Mishra, Nibedita Sahoo, Prakash Kumar Sasmal, Tushar Subhadarshan Mishra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2017;volume=60;issue=3;spage=371;epage=376;aulast=Nayak
_version_ 1819262180387717120
author Mamita Nayak
Susama Patra
Pritinanda Mishra
Nibedita Sahoo
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
author_facet Mamita Nayak
Susama Patra
Pritinanda Mishra
Nibedita Sahoo
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
author_sort Mamita Nayak
collection DOAJ
description Phyllodes tumors are uncommon fibroepithelial neoplasms of breast. Heterologous sarcomatous differentiation of malignant phyllodes tumor (MPT) is a rare phenomenon as shown in the literature. Herein we report a series of nine cases from a tertiary care centre in Eastern India. Patients demographic data and clinical details were obtained from the medical records. Histopathology and immunohistochemical studies were analysed and diagnosed accordingly. Out of 38 cases of PT, 13 were found to be MPT, of which 9 cases showed heterologous differentiation in the form of angiosarcoma, fibrosarcoma, undifferentiated sarcoma, extensive squamous differentiation and with lipomatous metaplasia. Proper diagnosis and subtyping of the sarcomatous component is essential for deciding the correct treatment modality and prognostication of the disease. However there is no clear cut treatment protocol is available because of paucity of data.
first_indexed 2024-12-23T19:53:36Z
format Article
id doaj.art-a8776755bd294c809b425d9fa6b4fbce
institution Directory Open Access Journal
issn 0377-4929
language English
last_indexed 2024-12-23T19:53:36Z
publishDate 2017-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Pathology and Microbiology
spelling doaj.art-a8776755bd294c809b425d9fa6b4fbce2022-12-21T17:33:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292017-01-0160337137610.4103/IJPM.IJPM_426_16Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern IndiaMamita NayakSusama PatraPritinanda MishraNibedita SahooPrakash Kumar SasmalTushar Subhadarshan MishraPhyllodes tumors are uncommon fibroepithelial neoplasms of breast. Heterologous sarcomatous differentiation of malignant phyllodes tumor (MPT) is a rare phenomenon as shown in the literature. Herein we report a series of nine cases from a tertiary care centre in Eastern India. Patients demographic data and clinical details were obtained from the medical records. Histopathology and immunohistochemical studies were analysed and diagnosed accordingly. Out of 38 cases of PT, 13 were found to be MPT, of which 9 cases showed heterologous differentiation in the form of angiosarcoma, fibrosarcoma, undifferentiated sarcoma, extensive squamous differentiation and with lipomatous metaplasia. Proper diagnosis and subtyping of the sarcomatous component is essential for deciding the correct treatment modality and prognostication of the disease. However there is no clear cut treatment protocol is available because of paucity of data.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2017;volume=60;issue=3;spage=371;epage=376;aulast=NayakHeterologousmalignantphyllodestransformation
spellingShingle Mamita Nayak
Susama Patra
Pritinanda Mishra
Nibedita Sahoo
Prakash Kumar Sasmal
Tushar Subhadarshan Mishra
Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
Indian Journal of Pathology and Microbiology
Heterologous
malignant
phyllodes
transformation
title Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
title_full Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
title_fullStr Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
title_full_unstemmed Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
title_short Malignant phyllodes tumor with heterologous differentiation: Clinicopathological spectrum of nine cases in a tertiary care institute in Eastern India
title_sort malignant phyllodes tumor with heterologous differentiation clinicopathological spectrum of nine cases in a tertiary care institute in eastern india
topic Heterologous
malignant
phyllodes
transformation
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2017;volume=60;issue=3;spage=371;epage=376;aulast=Nayak
work_keys_str_mv AT mamitanayak malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia
AT susamapatra malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia
AT pritinandamishra malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia
AT nibeditasahoo malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia
AT prakashkumarsasmal malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia
AT tusharsubhadarshanmishra malignantphyllodestumorwithheterologousdifferentiationclinicopathologicalspectrumofninecasesinatertiarycareinstituteineasternindia