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Int J Surg Case Rep. 2016;26:96-100. doi: 10.1016/j.ijscr.2016.07.022. Epub 2016 Jul 22.

The largest and neglected giant phyllodes tumor of the breast-A case report and literature review.

Author information

1
San Fernando Teaching Hospital, Trinidad and Tobago. Electronic address: shar_islam7@hotmail.com.
2
San Fernando Teaching Hospital, Trinidad and Tobago. Electronic address: jitshahtrini@gmail.com.
3
Department of Clinical surgical Sciences, University of West Indies; St. Augustine, Trinidad and Tobago. Electronic address: patrick_harnarayan@hotmail.com.
4
Department of Clinical surgical Sciences, University of West Indies; St. Augustine, Trinidad and Tobago. Electronic address: vnaraynsingh@gmail.com.

Abstract

Phyllodes tumours are rare fibro-epithelial lesions. The role of the pathologist in the preoperative diagnosis of phyllodes tumours of the breast is critical to appropriate surgical planning. Wide local excision or mastectomy with adequate margin remains the treatment of choice. Local recurrence occurs in approximately 10- 16.1% of patients (Wei et al., 2014) [1] and distant metastases occurs in 6.3-31% of patients with malignant phyllodes tumours (Wei et al. (2014), Chaney et al., 1998) [1,2] but only in 4% of all phyllodes tumours (Salvador et al., 1989) [3]. Emphasis should be given in early diagnosis and intervention to decrease morbidity and mortality.

KEYWORDS:

Benign giant phyllodes tumor; Giant fibroadenoma; Invasive adenocarcinoma of the breast; Malignant phyllodes tumor

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