Abstract
Metastasis from mammary phyllodes tumor is rare; only five cases of phyllodes tumor metastasizing to the pancreas have been documented in the literature. Our patient developed acute retroperitoneal hemorrhage due to pancreatic metastasis from malignant phyllodes tumor of the breast, as the first presentation of metastasis. We successfully used catheter intervention to avoid urgent explorative laparotomy, and eventually found another metastasis in a short period. Systemic ifosfamide–doxorubicin combination chemotherapy was employed. The regression of metastases was partial and a new lesion appeared at the same time. This case is extremely rare. However, we should be careful about the symptoms indicating the sign of bleeding during the follow-up of patients with fast-progressing metastatic phyllodes tumor.
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