A giant phyllodes tumor of the breast

Phyllodes tumors of the breast are rare, accounting for less than 1% of the breast tumors. They are mostly seen in women between 45 and 49 years old. These are fast growing tumors with a large spectrum of behavior (from benign to metastatic) and can resemble fibroadenomas. Correct diagnosis mostly t...

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Main Authors: Charlotte Schillebeeckx, Guy Verbeeck, Geert Daenen, Dirk Servaes, Marc Bronckaers
Format: Article
Language:English
Published: SAGE Publishing 2016-10-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/6299
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author Charlotte Schillebeeckx
Guy Verbeeck
Geert Daenen
Dirk Servaes
Marc Bronckaers
author_facet Charlotte Schillebeeckx
Guy Verbeeck
Geert Daenen
Dirk Servaes
Marc Bronckaers
author_sort Charlotte Schillebeeckx
collection DOAJ
description Phyllodes tumors of the breast are rare, accounting for less than 1% of the breast tumors. They are mostly seen in women between 45 and 49 years old. These are fast growing tumors with a large spectrum of behavior (from benign to metastatic) and can resemble fibroadenomas. Correct diagnosis mostly through core needle biopsy is important to decide whether a surgical excision has to be done. Here we report a case of a 57-year-old woman with a fast growing, ulcerated tumor in the left breast. Core needle biopsy suggested a malignant phyllodes tumor with heterologous liposarcomatous differentiation. Treatment with total mastectomy and adjuvant radiotherapy followed. Primary treatment is always surgery, whether radiotherapy or chemotherapy has to follow remains uncertain. There is a high-recurrence rate, especially when the surgical margins are narrow.
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spelling doaj.art-f45e5e93b7e14b4cba8dc7e8bf3cd3a32022-12-22T03:01:32ZengSAGE PublishingRare Tumors2036-36052036-36132016-10-018310.4081/rt.2016.62993556A giant phyllodes tumor of the breastCharlotte Schillebeeckx0Guy Verbeeck1Geert Daenen2Dirk Servaes3Marc Bronckaers4Department of General Surgery, AZ TurnhoutDepartment of Anatomic Pathology, AZ TurnhoutDepartment of Vascular Surgery, AZ TurnhoutDepartment of General Surgery, AZ TurnhoutDepartment of General Surgery, AZ TurnhoutPhyllodes tumors of the breast are rare, accounting for less than 1% of the breast tumors. They are mostly seen in women between 45 and 49 years old. These are fast growing tumors with a large spectrum of behavior (from benign to metastatic) and can resemble fibroadenomas. Correct diagnosis mostly through core needle biopsy is important to decide whether a surgical excision has to be done. Here we report a case of a 57-year-old woman with a fast growing, ulcerated tumor in the left breast. Core needle biopsy suggested a malignant phyllodes tumor with heterologous liposarcomatous differentiation. Treatment with total mastectomy and adjuvant radiotherapy followed. Primary treatment is always surgery, whether radiotherapy or chemotherapy has to follow remains uncertain. There is a high-recurrence rate, especially when the surgical margins are narrow.http://www.pagepress.org/journals/index.php/rt/article/view/6299Phyllodes tumorbreastmastectomy
spellingShingle Charlotte Schillebeeckx
Guy Verbeeck
Geert Daenen
Dirk Servaes
Marc Bronckaers
A giant phyllodes tumor of the breast
Rare Tumors
Phyllodes tumor
breast
mastectomy
title A giant phyllodes tumor of the breast
title_full A giant phyllodes tumor of the breast
title_fullStr A giant phyllodes tumor of the breast
title_full_unstemmed A giant phyllodes tumor of the breast
title_short A giant phyllodes tumor of the breast
title_sort giant phyllodes tumor of the breast
topic Phyllodes tumor
breast
mastectomy
url http://www.pagepress.org/journals/index.php/rt/article/view/6299
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