Giant phyllodes tumor of the breast: A case report

Liu, Ziteng; Li, Zongyan; Lai, Shengqing; Li, Haiyan

doi:10.1016/j.asjsur.2022.06.094

Cited by 1 publication

(2 citation statements)

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“…The standard of treatment in PTs remains the surgical approach. Ziteng Liu, Zongyan Li reported a case of benign giant PT which also presented with malignant character initially, they performed mastectomy of the tumor and did not treat with chemotherapy and endocrine therapy 15 . Ramona‐Andreea Matei reported a left mastectomy of a 24‐year‐old woman who presented a rapid increase in volume of the left breast which was approved to be PTs 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Ziteng Liu, Zongyan Li reported a case of benign giant PT which also presented with malignant character initially, they performed mastectomy of the tumor and did not treat with chemotherapy and endocrine therapy. 15 Ramona‐Andreea Matei reported a left mastectomy of a 24‐year‐old woman who presented a rapid increase in volume of the left breast which was approved to be PTs. 16 We completely resected the large external convex mass at 3 o'clock of the left breast, although axillary metastases of PT are rare, we did the left ALND due to the PET/CT report, mammography was reviewed after 6 months and no recurrence at the surgery site.…”

Section: Discussionmentioning

confidence: 99%

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Giant breast phyllodes tumor with silent thromboembolism: A case report

et al. 2023

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BackgroundPhyllodes tumor (PT) is a solid fibroepithelial breast lesion with proliferation of stromal and epithelial elements, usually presents with a rapidly expanding feature. Venous thromboembolism (VTE) have been reported to increase the burden in terms of mortality and morbidity of malignant tumor, and associate with worsened survival. However, benign PTs with silent thromboembolism that have not yet been reported, we report an unusual case of massive benign PT that grew on the left side of the breast in a cauliflower‐shaped form and presented severe chronic blood loss and deep VTE.CaseA 37‐year‐old woman with uncontrolled pain presented a rapidly enlarging left breast mass, measuring approximately 30 × 20 × 15 cm3 that first started 25 years ago. color Doppler ultrasound showed a large mass lesion on the left breast and deep VTE, several enlarged lymph nodes in the left axilla and mediastinum, which presented a malignant character. However, the biopsies of the mass did not show evidence of malignancy and the pathology result was considered to be benign PT. The patient was treated with an inferior vena cava and anticoagulation, the operation was arranged according to the surgical procedure, the patient recovered very well after mastectomy.ConclusionThis case is unique in that the giant breast mass presented with malignant character, was eventually pathologically confirmed to be benign PT, and it's rare that the benign tumor accompanied with silent thromboembolism. This finding describes the atypia features of giant benign PT and reminds the surgeon to consider the factor of VTE and risk when encountering ulcerative benign breast tumor and avoid excessive treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%