Giant juvenile phyllodes tumour: a case report

Area of Science:

• Oncology
• Pediatric Surgery
• Breast Pathology

Background:

• Phyllodes tumors are rare fibroepithelial neoplasms, comprising <1% of breast malignancies, typically affecting women aged 40-50.
• Pediatric phyllodes tumors are exceptionally rare (<10% of cases), presenting diagnostic challenges due to overlapping features with fibroadenomas.
• Management in adolescents requires balancing oncological safety with aesthetic and functional preservation during breast development.

Observation:

• A case report details a benign phyllodes tumor in a pediatric female patient with a rapidly growing breast mass.
• Initial clinical suspicion was a fibroadenoma, highlighting common diagnostic difficulties.
• Surgical excision was performed, with histopathology confirming the diagnosis.

Findings:

• Histopathological examination confirmed a benign phyllodes tumor.
• The patient experienced no postoperative complications or recurrence at follow-up.
• This case underscores the rarity and diagnostic challenges of phyllodes tumors in the pediatric population.

Implications:

• Accurate diagnosis of pediatric phyllodes tumors necessitates surgical excision and histological evaluation.
• Treatment protocols for adolescents must consider breast development and employ nuanced surgical approaches.
• Reporting pediatric cases expands the literature on juvenile phyllodes tumors and raises awareness.