Phyllodes tumor in pregnancy: A Case Report

Dr Pooja Patil,Dr Swagata Brahmachari,Dr Bharati Pandya,Dr Tanya Rajpal

doi:10.17511/joog.2019.i01.06

Dr Pooja Patil, Dr Swagata Brahmachari + Show 2 more

Open Access

https://doi.org/10.17511/joog.2019.i01.06

Copy DOI

Abstract

Phyllodes tumor accounts for less than 1% of all breast neoplasms. These tumors are fast growing masses arising from the periductal stromal cells of the breast. We report a case of phyllodes in a 25 year old primigravida who presented to us at 18 weeks of pregnancy with mass of right breast which appeared 15 days back. She gave history of some mass in right breast for which she was operated 1 year back for which no details or papers were available. On examination there was a tumor in Right breast of about 20x15x11 cm size.ANC examination showed uterus of 18 wks size, FHS 140/min, regular. Patient underwent FNAC and biopsy from the mass which was suggestive of malignant Phyllodes tumor. Patient was prepared for mastectomy and along with surgical team right mastectomy with right axillary lymph node dissection was done. Post-operative period was uneventful. Histopathological examination showed increased cellularity and nuclear atypia suggestive of malignant phyllodes tumour and lymph nodes were negative. We concluded that accurate preoperative pathological diagnosis is very important for management of phyllodes tumor, and allows correct surgical planning and avoidance of reoperation.

Highlights

IntroductionPhyllodes tumor are rare, accounting for less than 1% of all breast neoplasms [1]
Phyllodes tumor are rare, accounting for less than 1% of all breast neoplasms [1]. These tumors are fast growing tumor masses arising from the stromal cells around the ducts of the breast
Cystosarcoma Phyllodes is a rare tumor of the breast occurring more commonly in the peri-menopausal age group

Summary

Introduction

Phyllodes tumor are rare, accounting for less than 1% of all breast neoplasms [1]. These tumors are fast growing tumor masses arising from the stromal cells around the ducts of the breast. Its incidence is more common in the 4th-5th decade of life prior to menopause.These tumors have rapid growth and the associated symptoms can mimic other types of breast carcinoma, if the mass ulcerates and bleeds. The majority of phyllodes tumors are benign (35% to 64%), while rest of them could be eitherborderline or malignant subtype. Benign tumors have a five-year survival rate of almost 100% o, 98% with borderline, and about 88% with malignant [5].

Results

Discussion

Conclusion