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Relapsing malignant phyllodes tumour presenting as isolated acrometastases
Ellery H Reason1, Michael D Aiduk1, William C Eward2,3
1Duke University School of Medicine, Durham, North Carolina, USA.
BMJ Case Reports
|July 3, 2024
Summary
Malignant phyllodes tumors (PTs) are aggressive cancers that can spread to unusual locations. This case highlights acrometastases, emphasizing the need for early diagnosis and intervention in metastatic PT.
Area of Science:
- Oncology
- Pathology
Background:
- Malignant phyllodes tumors (PTs) are rare, aggressive breast neoplasms.
- Metastatic PTs have limited treatment options and poor prognoses.
Observation:
- A case of recurrent metastatic malignant PT in a woman in her late 30s is presented.
- The patient exhibited unusual acrometastases to the digits of her right hand.
Findings:
- This case underscores the potential for atypical metastatic patterns in malignant PT.
- Acrometastasis represents an uncommon but severe manifestation of the disease.
Implications:
- Early recognition of acrometastasis in malignant PT is crucial for timely intervention.
- Prompt diagnosis and intervention are vital due to the high growth rate and limited systemic treatment options for malignant PTs.
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