ArticleJournal of surgical case reports2026
Clinical case giant malignant phyllodes tumor of the breast.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Malignant phyllodes tumor is a rare and aggressive breast neoplasm with the potential for rapid and recurrent growth. We present the case of a 56-year-old woman from San Martín, Peru, with a left breast mass exhibiting exponential growth, ulceration, necrosis, and asymmetry. Physical examination revealed a multinodular, purplish-red, indurated, and slightly painful mass. Ultrasound showed a 12-cm hypoechoic, heterogeneous mass with areas of necrosis, increased vascularity, and contact with the muscle layer (Breast Imaging Reporting and Data System category 4). Core biopsy revealed a fibroepithelial neoplasm with high mitotic activity (10/10 HPF). The patient underwent left total mastectomy with subsequent margin extension and partial-thickness skin grafting, achieving complete resection and satisfactory recovery. This case highlights the challenges in the diagnosis and surgical management of this pathology in resource-limited settings where timely surgery plays a crucial role in treatment and prevents recurrence.
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