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Early stage malignant phyllodes tumor case report
Thao Wolbert1, Emilia C N Leigh1, Rahman Barry1
1Marshall University School of Medicine, Department of Surgery, Huntington, WV, United States.
International Journal of Surgery Case Reports
|December 17, 2017
Summary
Malignant phyllodes tumors of the breast are rare and difficult to diagnose early. This case shows excellent outcomes with lumpectomy alone for early-stage disease, highlighting the importance of early detection.
Area of Science:
- Oncology
- Breast Surgery
- Pathology
Background:
- Malignant phyllodes tumor (MPT) of the breast is exceptionally rare.
- MPT often mimics benign fibroadenoma, complicating early clinical suspicion and diagnosis.
- Current treatment consensus for MPT, including radiotherapy, hormonal therapy, and chemotherapy, is lacking.
Purpose of the Study:
- To present a case of early-stage malignant phyllodes tumor.
- To report the outcome of a patient treated with lumpectomy alone.
- To emphasize the significance of early diagnosis and staging in managing MPT.
Main Methods:
- Case report of an early-stage malignant phyllodes tumor.
- Treatment involved lumpectomy without adjuvant chemoradiation therapy.
- Outcome assessment focused on patient's response to treatment.
Main Results:
- The patient achieved an excellent outcome following lumpectomy alone.
- Early-stage diagnosis and surgical management led to a favorable result.
- The case demonstrates a potentially successful treatment approach for select MPT cases.
Conclusions:
- High suspicion and early diagnosis are critical for malignant phyllodes tumor patients.
- Early detection and staging can improve outcomes after lumpectomy alone.
- Prompt management may reduce the need for extensive adjuvant therapies, decreasing morbidity and mortality.
