Malignant phyllodes tumour presenting as a massive fungating breast mass and silent thrombo-embolism

Anita G Bourke, Madeleine McCreanor, Allen Yeo, Dieter Weber, Anthony Bartlett, Anastasia Backhouse

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1 Citation (Scopus)


INTRODUCTION: We report an unusual case of a massive malignant phyllodes tumour that had almost replaced the entire breast presenting with severe chronic blood loss, extensive deep venous thrombosis (DVT) and a silent pulmonary embolus.

PRESENTATION: Long-standing neglected massive fungating ulcerative mass larger than the left haemothorax.

DISCUSSION: Phyllodes tumours are rare fibro-epithelial breast lesions that have the propensity to grow rapidly to a large size if neglected. Larger tumours are more likely to be malignant with an overall metastatic rate around 10%. An incidental pulmonary embolus arising from extensive silent lower limb deep vein thrombosis requiring an IVC filter complicated the surgical management.

CONCLUSION: Phyllodes tumours are rare and account for approximately 0.3-0.5% of all breast tumours [1]. They have the propensity to be fast growing. However, tumours reaching a massive size (>10cm) are rare with few reports in the literature.

Original languageEnglish
Pages (from-to)78-81
Number of pages4
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - 2015
Externally publishedYes

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Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.


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