A rare case of a giant ulcerated benign phyllode tumor.

Louise Benoit; Ilenko A; Chopier J; Buob D; Darai E; Zilberman S

doi:10.1016/j.jogoh.2018.08.007

A rare case of a giant ulcerated benign phyllode tumor.

Louise Benoit, Ilenko A, Chopier J, Buob D, Darai E, Zilberman S

Journal of gynecology obstetrics and human reproduction · 2019 · doi:10.1016/j.jogoh.2018.08.007 · PMID:30142471

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A 40-year-old woman presented with a giant ulcerated breast mass initially suspected to be malignant, but final mastectomy pathology confirmed a rare benign phyllode tumor despite inconclusive imaging and biopsy results.

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Abstract

Phyllode tumors are rare fibroepithelial neoplasms divided into three histological grades according to their potential for malignancy. Low grade tumors are usually smaller with a slower evolution. We present here the case of a 40 year old women presenting an augmentation over one month of the volume of her right breast with an ulcerated mass measuring 25cm. The clinical characteristics were in favor as a malignant tumor. The radiological findings were not contributive and the pathologic examinations of the biopsies were benign. A therapeutic and diagnostic mastectomy was thus performed and the final pathologic examination confirmed a benign phyllode tumor. These rare tumors are very deceitful for the radiologic investigations are poorly contributive. Likewise, the pathologic examination can be incorrect. Biopsies must be repeated and a mastectomy performed if any doubts remain.

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