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Extreme delay in care for enlarging breast mass
Aaron D Rutzick1, Scott F Davies
1Department of Medicine, Hennepin County Medical Center, University of Minnesota Medical School, Minneapolis, Minnesota, USA. aaron.rutzick@hcmed.edu
Summary
Phyllodes tumors (PT) are rare breast cancers. This case highlights an exceptionally large 28 cm PT, presenting a unique diagnostic and surgical challenge.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Phyllodes tumors (PT) are uncommon fibroepithelial neoplasms of the breast, representing a small fraction of primary breast malignancies.
- Typically, PTs are diagnosed at smaller sizes, with most measuring less than 5.0 cm and averaging 4-7 cm in diameter.
Observation:
- A case study involving a 59-year-old woman presenting with a massive, ulcerated chest wall tumor is detailed.
- Computed tomography (CT) imaging revealed an unusually large tumor, measuring 28 cm in diameter, exceeding the dimensions of the adjacent thoracic circumference.
Findings:
- Surgical resection of the massive tumor was performed.
- Microscopic examination of the resected mass revealed characteristic features of a Phyllodes tumor, including spindled cells within a myxoid stroma.
Implications:
- This case underscores the potential for extreme tumor growth in Phyllodes tumors, challenging conventional size expectations.
- The findings emphasize the importance of thorough histopathological evaluation for accurate diagnosis, even in cases of exceptionally large breast masses.
- Management of such large tumors requires careful surgical planning and consideration of potential complications.
