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Malignant cystosarcoma phyllodes with lymph node metastasis--a case report.

S Harada, H Fujiwara, T Hisatsugu

    The Japanese Journal of Surgery
    |May 1, 1987
    PubMed
    Summary
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    This paper reports the first documented case in Japan of malignant cystosarcoma phyllodes with interpectoral lymph node metastasis. Radical or modified radical mastectomy is suggested as the appropriate surgical approach for this rare condition.

    Area of Science:

    • Oncology
    • Surgical Pathology

    Background:

    • Cystosarcoma phyllodes is a rare breast tumor with malignant potential.
    • Metastasis of this tumor to lymph nodes is uncommon, particularly to the interpectoral (Rotter's) lymph nodes.

    Observation:

    • A case of malignant cystosarcoma phyllodes presenting with metastasis to an interpectoral lymph node is described.
    • This represents the first reported instance of this specific presentation in Japan.

    Findings:

    • The study highlights a rare presentation of malignant cystosarcoma phyllodes with lymph node involvement.
    • The interpectoral lymph node (Rotter's node) was identified as a site of metastasis.

    Implications:

    • This case underscores the importance of considering lymph node metastasis in malignant cystosarcoma phyllodes, even in unusual locations.

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  • While surgical management is not standardized, radical or modified radical mastectomy is proposed as a potentially effective treatment strategy.