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Related Experiment Videos

Infiltrating ductal carcinoma developing within cystosarcoma phyllodes--a case report.

T Yasumura1, S Matsui, T Hamajima

  • 1Second Department of Surgery, Kyoto Prefectural University of Medicine, Japan.

The Japanese Journal of Surgery
|May 1, 1988
PubMed
Summary

Malignancy is rare in cystosarcoma phyllodes, but this case details infiltrating ductal carcinoma within the tumor stroma. The patient underwent successful treatment with no recurrence observed for over five years.

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Area of Science:

  • Oncology
  • Surgical Pathology
  • Breast Cancer Research

Background:

  • Cystosarcoma phyllodes are rare breast tumors, with malignancy being an infrequent complication.
  • Malignant transformation typically involves the stromal component of the tumor.

Observation:

  • A 47-year-old woman presented with a large (15 cm) right breast tumor diagnosed as cystosarcoma phyllodes.
  • Histopathological examination revealed infiltrating ductal carcinoma within the stromal elements of the cystosarcoma phyllodes.

Findings:

  • The tumor exhibited hyperplastic ductal epithelial cells with atypical features, including dark cytoplasm and enlarged, hyperchromatic nuclei, infiltrating the stroma.
  • This rare presentation led to a diagnosis of ductal carcinoma arising within a cystosarcoma phyllodes.

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Implications:

  • This case highlights the importance of thorough histopathological evaluation for rare malignant transformations in benign-appearing breast lesions.
  • Successful management with radical mastectomy resulted in a favorable long-term outcome, with no recurrence or metastasis observed for over 5 years.
  • Further research into the pathogenesis and optimal management of such rare composite tumors is warranted.