Concluded Case

Management of suspected Phyllodes tumour

A 32 yr lady presented with a h/o a huge lump in the left breast which she noticed 12 yrs back and that the same has grown slowly to the present size No co morbidity Married with two children Breast fed both for two to three years.M/H regular O/E A lump was palpable 15×12×10 cm was felt in the left breast, firm in consistency, surface lobuleted, margins well defined, freely mobile ,no fixity to Chest wall ,skin over th mass normal and free, No changes noticed in the nipple and areola.opposite breast normal No axillary lymph nodes involvement Xray Chest NAD HR USG BREAST Giant Fibroadenoma/ Phyllodes Tumour FNAC LUMP Giant Fibroadenoma/ Phyllodes tumour Operative notes In view of the suspicion of Phyllodes tumour Wide excision with 1 cm of normal tissue was done Post OP uneventful Histopathology report Giant FIBROADENOMA Message Any breast lump of > 5 cm with suspicion of phyllodes should go for wide excision with 1 cm margin of normal tissue Phyllodes may be benign/malignant Even benign phyllodes are known for high incidence of local recurrence Malignant phyllodes are treated by Total mastectomy and sentinel lymph node biopsy Benign Phyllodes should always undergo wide excision with at least 1 cm margin Recurrent Benign phyllodes may sometimes require Total mastectomy

8 Likes

LikeAnswersShare
Concluded answer

Thanks to all for the response and interest shown

All Answers

Thanks to all for the response and interest shown

Thanks for sharing.

Thanks
0

View 1 other reply

Thanks for sharing.

Thanks
0