Invasive Ductal Carcinoma within a Benign Phyllodes Tumor
| Autor: | Mark M. Connolly, Nancy Panko, Ameer Gomberawalla, Anwar A Jebran |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Sentinel lymph node Breast Neoplasms 030230 surgery Benign Phyllodes Tumor Neoplasms Multiple Primary 03 medical and health sciences 0302 clinical medicine Phyllodes Tumor Biopsy Carcinoma medicine Humans skin and connective tissue diseases neoplasms Aged medicine.diagnostic_test business.industry Wide local excision Carcinoma Ductal Breast Phyllodes tumor Articles General Medicine Ductal carcinoma Sentinel node medicine.disease body regions Carcinoma Intraductal Noninfiltrating 030220 oncology & carcinogenesis Female Radiology business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| DOI: | 10.12659/ajcr.903774 |
| Popis: | Patient: Female, 70 Final Diagnosis: Benign phyllodes tumor Symptoms: Fatigue Medication: — Clinical Procedure: Right breast lumpectomy Specialty: Surgery Objective: Rare disease Background: Phyllodes tumor (PT) is a rare neoplasm of the breast. Concomitant PT with invasive ductal carcinoma (IDC) is an even rarer occurrence. When ductal carcinoma in situ (DCIS) or IDC are detected within the specimen, the management changes from wide local excision to further staging work-up, including sentinel node biopsy and radiation. Case Report: We report the case of a 70-year-old presented with right breast mass whose pathology showed benign PT with concomitant IDC and DCIS. The patient elected for a wide excision of the mass with sentinel lymph node biopsy, which did not show any involvement. The patient was started on appropriate therapy. She is currently doing well. Conclusions: This case highlights the importance of wide local excision for PT as well as prudent histologic examination to rule out other malignant components, as the presence of IDC distinctly changes management. |
| Databáze: | OpenAIRE |
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