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Case Reports in Oncological Medicine
Volume 2014, Article ID 956856, 5 pages
http://dx.doi.org/10.1155/2014/956856
Case Report

Giant Malignant Phyllodes Tumour of Breast

Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore, India

Received 28 August 2014; Accepted 5 November 2014; Published 4 December 2014

Academic Editor: Ossama W. Tawfik

Copyright © 2014 Ramakrishnan Krishnamoorthy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The term phyllodes tumour includes lesions ranging from completely benign tumours to malignant sarcomas. Clinically phyllodes tumours are smooth, rounded, and usually painless multinodular lesions indistinguishable from fibroadenomas. Percentage of phyllodes tumour classified as malignant ranges from 23% to 50%. We report a case of second largest phyllodes tumour in a 35-year-old lady who presented with swelling of right breast since 6 months, initially small in size, that progressed gradually to present size. Examination revealed mass in the right breast measuring  cms with lobulated firm surface and weighing 10 kgs. Fine needle aspiration cytology was reported as borderline phyllodes; however core biopsy examination showed biphasic neoplasm with malignant stromal component. Simple mastectomy was done and specimen was sent for histopathological examination which confirmed the core biopsy report. Postoperatively the patient received chemotherapy and radiotherapy. The patient is on follow-up for a year and has not shown any evidence of metastasis or recurrence.