Fungating malignant phyllodes tumour- Still a reality in this day and age !!!

Cystosarcoma phyllodes is an uncommon neoplasm of the breast, constituting 0.3 �0.9% of all breast tumors. The incidence of malignant phyllodes tumor is even lower. The tumor is similar to fibroadenoma in structure, but it is distinguished from it histologically by large leaf-like projections of stroma with increased stromal cellularity [1] . Although surgical removal is the mainstay of treatment, the extent of surgery required (excision vs. mastectomy) and the need for additional local therapy, such as radiotherapy, are unclear [2] . We report a case of a 35 year old married woman who presented to our out patient department with a fungating, foul smelling mass in the right breast that turned out to be a malignant phyllodes tumour. The malignant variant of the cystosarcoma phllodes tumour is indeed a very rare mammary tumour.