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Malignant Phyllodes tumor in a young female: A Case Report
Priyanka Anand1, Namrata Sarin1, Amul K Butti1
1Pathology Department, Hindurao Hospital and NDMC Medical college, New Delhi, India.
Malignant Phyllodes tumors are rare breast neoplasms with metastatic potential. Early diagnosis and surgical management are crucial to prevent recurrence, as seen in this case of an 18-year-old female.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Phyllodes tumors are rare fibroepithelial neoplasms of the breast, comprising 0.3-0.5% of all breast tumors.
- While typically benign, a subset can undergo malignant transformation, posing recurrence and metastatic risks.
Observation:
- A rare case of malignant Phyllodes tumor is presented in an 18-year-old female with a rapidly growing left breast mass.
- Initial fine needle aspiration cytology suggested atypical cells (C3), necessitating biopsy for definitive diagnosis.
Findings:
- Histopathological examination confirmed a malignant Phyllodes tumor.
- Post-lumpectomy, the patient experienced a rapid recurrence with ulceration, requiring a simple mastectomy.
- The patient is currently disease-free post-treatment and under follow-up.
Implications:
- Accurate preoperative diagnosis is critical for effective surgical management of malignant Phyllodes tumors.
- Timely intervention can prevent local recurrences and improve patient outcomes.
- This case highlights the aggressive nature and management challenges of malignant Phyllodes tumors in young adults.
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