Recurrent phyllodes tumor of the breast transforming to a fibrosarcoma

Gunasekaran, Gopalakrishnan; Naik, Debasis; Sharma, Sonam; Bhandari, Vasundhra; Mandal, Ashish Kumar; Rajput, Deepak

doi:10.5455/2349-2902.isj20141116

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Larger tumor size and positive resection margin are well known to be risk factors for local tumor recurrence. Recurrence tumor can be lower or the same grade as the initial one, but in majority of cases, tumors with a more aggressive growth and enhanced malignancy are found on recurrence [26,27,28]. In our study, a girl that had been operated for phylloid tumor had a recurrent tumor 10 months after thr initial surgery.…”

Section: Discussionmentioning

confidence: 57%

Surgical treatment for breast tumors in children

et al. 2019

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Introduction/Objective Fibroadenoma, often called "breast mice tumors" due to their mobility, are the most common breast tumors in pediatric population. Considering that some tumors have a potential for rapid growth, breast tissue damage, and that an ideal diagnostic tool has yet to be found, complete mass extirpation might be the treatment of choice. The aim of the study was to present our clinical experience in treating children with breast masses. Methods A retrospective review (2011-2018) of patients treated for breast tumors at the Institute for Child and Youth Health Care of Vojvodina in Novi Sad was conducted. Results In this study 29 girls (mean age 15.8 ± 1.8) were included. The majority of masses were located in the upper outer (27.6%) or lower inner (24.1%) breast quadrant. The mean mass diameter was 39.7 mm. It has been observed that the mean mass diameter in the group of girls with positive family history for breast diseases was significantly lower (p < 0.05) than in those with negative family history (27.5 vs. 43.2 mm). There were no proven malignant tumors and all tumors have been completely extirpated. The mean postoperative stay was 1.5 ± 1.02 days. Conclusion An appropriate radical operative technique dependent on mass size and localization is still the "gold standard" for treating breast masses in pediatric patients. Cooperation with experts in the field of oncologic breast surgery enables implementing these operative techniques in clinical practice of pediatric surgeons.

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Section: Discussionmentioning

confidence: 57%

Surgical treatment for breast tumors in children

et al. 2019

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“…Contrary to the other two reported cases, our patient developed an aggressive transformation after multiple recurrences while in the case report by Gunasekaran et al, the patient developed fibrosarcoma in the very first recurrence after surgery. In the other case reported by Pant et al, the patient developed such change at the third recurrence [9,10].…”

Section: Discussionmentioning

confidence: 69%

Recurrent Phyllodes Tumour of the Breast Transforming to a Fibrosarcoma

Jabeen

Vohra

Siddiqui

et al. 2020

Cureus

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Phyllodes tumours of the breast are characterized by having both an epithelial as well as stromal component and these usually comprise almost 3% of all fibroepithelial tumours. They are exceptional in this aspect to convert into a stromal sarcoma of the breast after multiple recurrences. To the best of our knowledge, there are only three case reports regarding this in the available literature as it is an exceptional change. In this case report, we present a case of recurrent phyllodes transforming into a breast fibrosarcoma in a middle age postmenopausal woman. Histopathological examination and immunohistochemistry of the lesion were performed to confirm the diagnosis of breast fibrosarcoma.

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“…It constitutes 0.3-1.0% of mammary tumors and 2-3% of fibroepithelial neoplasms of the breast. 1,2 It usually presents as a rapidly growing and clinically benign breast lump in females within fourth to fifth decade of life and rarely it occurs in adolescents and the elderly. 3 Grossly, the tumor displays characteristics of a large, malignant sarcoma.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Malignant Phyllodes Tumor of the Breast: A Rare Occurrence in a Young Nulliparous Woman

Singhal

Sharma

Kamra

et al. 2017

RAPL

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Phyllodes tumor of the breast is an uncommon fibroepithelial neoplasm and accounts for less than 1% of the primary breast neoplasms. The median age of its occurrence is 40-50 years. It has been sub-classified histologically as benign, borderline or malignant. Accurate preoperative diagnosis and proper management are crucial for this tumor as it has a high potential for recurrence. The diagnosis of this rare tumor is based on clinical examination, radiology and cytology, but it is the histopathology which is the gold standard for it. Surgery is the treatment of choice, whereas chemotherapy, radiotherapy and hormonal therapy have got limited role so far. We report a rare case of recurrent malignant phyllodes tumor in a young nulliparous female, which is not the usual age group for this tumor.

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Recurrent phyllodes tumor of the breast transforming to a fibrosarcoma

Cited by 6 publications

References 9 publications

Surgical treatment for breast tumors in children

Surgical treatment for breast tumors in children

Recurrent Phyllodes Tumour of the Breast Transforming to a Fibrosarcoma

Recurrent Malignant Phyllodes Tumor of the Breast: A Rare Occurrence in a Young Nulliparous Woman

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