Multifocal intra-parenchymal and sub-pectoral malignant phyllodes tumor in young female, rare and unusual presentation: A case report.

Autor: Athamnah MN; Jordan Board of General Surgery, Jordan Medical Council, Jordan; Breast Surgery Fellowship, San Gerardo Hospital, Milano, Italy; Breast Surgeon, Jordan Ministry of Health, Jordan. Electronic address: mathamneh85@gmail.com., Abuelaish OM; Jordan Board of General Surgery, Jordan Medical Council, Jordan; Fellow of the American College of Surgeons, United States; Breast Surgeon, Jordan Royal Medical Services, Jordan., Rabai NA; General Surgery Resident, Jordan Ministry of Health, Jordan.
Jazyk: angličtina
Zdroj: International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 71, pp. 280-284. Date of Electronic Publication: 2020 May 22.
DOI: 10.1016/j.ijscr.2020.05.014
Abstrakt: Introduction: Phyllodes tumors are rare fibroepithelial breast tumors, accounting for less than 1% of all breast tumors. Most Phyllodes tumors are benign. However, about 10% are malignant. The Mean age of presentation for the Malignant Phyllodes tumors is 40 years. This case report describes an unusual presentation of Phyllodes tumor in a young female with an unusual site and presentation of the tumor.
Presentation of Case: A 23-year-old female presented with multiple left breast rapidly growing masses. Imaging showed two intra-parenchymal left breast masses and one mass lying posterior to the left pectoralis major muscle, anterior to the chest wall. Diagnosed as phyllodes tumor. Nipple areola sparing mastectomy was performed with excision of the tumor and immediate reconstruction using a silicone implant, followed by radiotherapy.
Conclusion: Phyllodes tumor usually presents in patients between 35-55 years old as a single breast mass. Yet, in rare cases, multifocal disease can happen, and disease can present in younger ages. The sub-pectoral presentation of phyllodes tumor is not mentioned in the literature before this case.
Competing Interests: Declaration of Competing Interest No conflict of interest.
(Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE