Benign Giant Phyllodes Tumours Presenting as Fungating Breast Masses

Breast masses presenting as fungating growths usually represent advanced malignancy. One remarkable exception is a benign phyllodes tumour. These tumours of stromal origin often exhibit rapid growth, resulting in pressure necrosis at the summit of the tumor causing fungation. It is difficult to differentiate between benign and malignant types clinically. Here, we describe two cases in which patients presented with fungating growth similar to a case of carcinoma breast, which turned out to be cases of benign phyllodes tumours. We would like to highlight the clinical features that differentiate between benign and malignant fungating growth and provide a brief update on the latest treatment modalities for phyllodes tumours.