Bilateral phyllodes tumor: Case report

Isabel Mayorga-Pérez , Patricia Mulero-Soto , Kerwin Cruz-De La Rosa , Viviana Negrón-González , Jonathan Hernandez-Rosa , Jose Feneque-Gonzalez , Maria Correa-Rivas , Anwar Abdul-Hadi
{"title":"Bilateral phyllodes tumor: Case report","authors":"Isabel Mayorga-Pérez ,&nbsp;Patricia Mulero-Soto ,&nbsp;Kerwin Cruz-De La Rosa ,&nbsp;Viviana Negrón-González ,&nbsp;Jonathan Hernandez-Rosa ,&nbsp;Jose Feneque-Gonzalez ,&nbsp;Maria Correa-Rivas ,&nbsp;Anwar Abdul-Hadi","doi":"10.1016/j.epsc.2024.102803","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Phyllodes tumors are rare fibroepithelial neoplasms. They represent less than 0.5–1% of all primary breast tumors and their presentation is even rarer in children.</p></div><div><h3>Case description</h3><p>A 15-year-old female with Autism Spectrum Disorder (ASD) was seen in the outpatient surgery clinic due to bilateral breast masses. She underwent core-needle aspiration. biopsy of both masses and the results were suspicious of fibroadenomas. Two days later the patient presented to the emergency room with ulceration and bleeding from the left breast mass. She was scheduled for an urgent nipple-sparing mastectomy, which was uneventful. The pathology revealed a multifocal, aggressive type tumor with moderate stromal cellularity, moderate stromal atypia and high mitotic index, corresponding to a borderline phyllodes tumor. Based on this result, she underwent an elective right nipple-sparing mastectomy. The pathology of the right breast mass was similar to the left breast mass.</p></div><div><h3>Conclusion</h3><p>Core-needle aspiration biopsy is not reliable for the diagnosis of phyllodes tumor. If a phyllodes tumor is diagnoses in one breast, a contralateral breast mass should be considered a phyllodes tumor until proven otherwise.</p></div>","PeriodicalId":45641,"journal":{"name":"Journal of Pediatric Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213576624000319/pdfft?md5=bcc5e47e4cf5c4c25948856d54593272&pid=1-s2.0-S2213576624000319-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213576624000319","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

Phyllodes tumors are rare fibroepithelial neoplasms. They represent less than 0.5–1% of all primary breast tumors and their presentation is even rarer in children.

Case description

A 15-year-old female with Autism Spectrum Disorder (ASD) was seen in the outpatient surgery clinic due to bilateral breast masses. She underwent core-needle aspiration. biopsy of both masses and the results were suspicious of fibroadenomas. Two days later the patient presented to the emergency room with ulceration and bleeding from the left breast mass. She was scheduled for an urgent nipple-sparing mastectomy, which was uneventful. The pathology revealed a multifocal, aggressive type tumor with moderate stromal cellularity, moderate stromal atypia and high mitotic index, corresponding to a borderline phyllodes tumor. Based on this result, she underwent an elective right nipple-sparing mastectomy. The pathology of the right breast mass was similar to the left breast mass.

Conclusion

Core-needle aspiration biopsy is not reliable for the diagnosis of phyllodes tumor. If a phyllodes tumor is diagnoses in one breast, a contralateral breast mass should be considered a phyllodes tumor until proven otherwise.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
双侧 Phyllodes 肿瘤:病例报告
导言Phyllodes肿瘤是一种罕见的纤维上皮肿瘤。病例描述:一名患有自闭症谱系障碍(ASD)的 15 岁女性因双侧乳房肿块在外科门诊就诊。她接受了双侧肿块的核芯针穿刺活检,结果怀疑是纤维腺瘤。两天后,患者因左侧乳房肿块溃烂和出血到急诊室就诊。她被紧急安排接受乳头保留乳房切除术,手术顺利。病理结果显示,这是一个多灶、侵袭性肿瘤,基质细胞度中等,基质不典型性中等,有丝分裂指数较高,与边缘性鳞状细胞瘤相符。根据这一结果,她接受了选择性右侧乳头保留乳房切除术。右侧乳房肿块的病理结果与左侧乳房肿块相似。如果在一侧乳房确诊为植物瘤,则对侧乳房肿块应被视为植物瘤,除非另有证明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.60
自引率
25.00%
发文量
348
审稿时长
15 days
期刊最新文献
Appendiceal hydatid cyst in a 5-year-old child: A case report Laparoscopic repair of a sliding right inguinal hernia containing both fallopian tubes, both ovaries and the uterus in an infant: A case report Segmental absence of intestinal musculature increasingly recognized in premature infants with perforated viscus: A case series Heteropagus (parasitic) twins and concomitant omphalocele: A case report Granular cell tumor of the breast in a 17-year-old female: A case report
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1