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A rare case of recurrent Phyllodes tumour

Author: 
Dr. R. Alagar Samy
Subject Area: 
Health Sciences
Abstract: 

Phyllodes tumours are rare and account for 0.4% of all breast tumours (Dyer et al., 1966). The majority of them tend to be less than 5 cms in size with giant tumours larger than 10 cms being about 20% of these cases. They display a broad range of clinical and pathological behavior and are regarded as falling within the spectrum of fibroepithelial neoplasms. Surgery has been the primary modality of treatment. However the extent of resection and the role of adjuvant radiotherapy and chemotherapy are still controversial. The risk of recurrence is (4.7% - 30%) for benign phyllodes tumour and (30% - 65%) for borderline and malignant phyllodes tumour (Popescu et al., 1991). A 46 year old female presented with complaints of lump in the right breast for six months. No other associated symptoms. She had undergone surgery 15 years back for the large right breast lump. On examination a swelling of sized 4x3 cms occupied in the upper outer quardrant of right breast with individual mobility within the breast. All basic investigations were normal. The Preoperative biopsy were phyllodes tumour. Hence we did right excision biopsy of the lump with 1cm clearence which were consistent with benign phyllodes tumour. The post operative periods were uneventful and is on regular follow up. The case is being presented for its rarity.

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