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Invasive Ductal Carcinoma within a Benign Phyllodes Tumor.
Nancy Panko1, Anwar A Jebran2, Ameer Gomberawalla3
1Department of Surgery , Presence Saint Joseph Hospital, Chicago, IL, USA.
The American Journal of Case Reports
|July 21, 2017
Summary
Phyllodes tumors (PT) are rare breast neoplasms. This case shows a benign PT with invasive ductal carcinoma (IDC) and ductal carcinoma in situ (DCIS), highlighting the need for wide local excision and histological examination for accurate breast cancer management.
Area of Science:
- Oncology
- Pathology
Background:
- Phyllodes tumors (PT) are rare breast neoplasms.
- Concomitant PT with invasive ductal carcinoma (IDC) is exceptionally rare.
Observation:
- A 70-year-old patient presented with a right breast mass.
- Pathology revealed a benign PT with co-existing IDC and DCIS.
Findings:
- Wide local excision and sentinel lymph node biopsy were performed.
- No lymph node involvement was detected.
Implications:
- Accurate histological examination is crucial for PT management.
- The presence of IDC necessitates changes in treatment protocols, including staging and radiation therapy.

