Abstract
Cystosarcomaphyllodes or generally known as phyllodes tumour, is a rare breast tumour accounting for less than 1% of all breast neoplasms.Very rarely, malignant transformation with metastatic potential. Phyllodes tumors resemble fibroadenomas, account for 1%of breast malignancies, and usually occur in women from 30 to 70 years old. We report a case of a 44-year-old lady who presented with a painless right breast lump for 3 months duration. The mass was initially 3cm in diameter and firm in consistency. Fine-needle aspiration cytology showed a benign breast lesion. Ultrasonography of breast revealed bilateral pleural effusion. As general anesthesia was deferred due to pleural effusion simple mastectomy was done under surface anesthesia with local application of prilocaine jelly .
Highlights
She had no significant family history of breast carcinoma or of any other past medical illnesses
Patients presenting with pleural effusion in phyllodes tumour is still rare as it is in this case
The pleural effusion could be an reactionary effusion because of the pressure effect on the chest which could be the reason for respiratory compromise that forced us to go for simple mastectomy under surface anesthesia
Summary
She had no significant family history of breast carcinoma or of any other past medical illnesses. Fine-needle aspiration cytology (FNAC) during the first visit to the clinic showed a benign breast lesion. Mammography revealed a benign breast lesion with multiple cysts and necrotic areas and reported as may be. Ultrasonography of breast revealed Giant fibroadenoma with some sarcomatous changes within with bilateral mild pleural effusion. Right mastectomy was planned under general anaesthesia. As general anaesthesia was deferred due to pleural effusion, simple mastectomy (Figure 3) was done under surface anaesthesia with local application of prilocaine jelly
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