Successful Resection of Giant Solitary Pulmonary Metastasis From a Phyllodes Tumor

Full-thickness chest-wall resection followed by thorax reconstruction for recurrent malignant phyllodes tumor

“…We resected the solitary lung metastasis and the locally advanced recurrent tumor. As metastatic phyllodes tumor in the lung are mostly multiple and often involve mediastinal structures, there were only four previous reports of successful resection of metastatic phyllodes tumors in the lung [9][10][11][12]. The prognoses of each patient in those reports were fairly good, which suggests that surgical resection should be considered as one of the treatment options for solitary metastatic lung tumor under the current circumstance that there is no proven benefit of chemotherapy.…”

Unusual and Isolated Pulmonary Metastasis of Malignant Phyllodes Tumour of Breast

“…Metastasis from phyllodes tumour has been reported to occur in 10% of borderline and high grade malignant phyllodes tumour, usually within the first three years following mastectomy and is fatal with a mean survival of four months from the time of diagnosis. 1,5 The longest interval between primary and metastatic phyllodes tumour has been 16 years to our knowledge. 6 In our case, metastasis occurred 10 years after resection of primary phyllodes tumour which is also rare.…”

“…These account for less than 1% of all breast tumours. 1 Malignant phyllodes tumour, comprise of less than 25% of phyllodes tumour and have a propensity for rapid growth and metastatic spread usually within three years after resection of primary tumour and has a high fatality with a mean survival of four months after diagnosis. 1 Metastasis usually occurs by haematogenous spread, the commonest sites for metastasis being the lung (70%-80%) followed by pleura (60%-70%), and bone (20%-30%).…”