Four cases of benign
phyllodes tumor were reported at cytology.
Water relations of compound leaves and
phyllodes in Acacia koa var.
Because only 2 benign
phyllodes tumor were reported as fibroadenoma, while 12 fibroadenomas were reported as benign
phyllodes in core needle biopsy.
However, our findings are in contrary to the reports by Nzegwu et al, [26] Irabo and Okolo et al [27] and Chalya PL et al [28] where patients with benign
phyllodes were aged below 20 years of age.
Fibroadenoma of breast was suspected but due to the rapid rate of enlargement and large size, malignant
phyllodes could not be ruled out.
Palabras clave: Reconstruccion inmediata de mama; Tumor
phyllodes; Fibroadenoma gigante; Calidad de vida; ANDI.
Cystosarcoma
phyllodes is a very rare condition having the potential of rapid growth and mimicking giant fibroadenomas (1, 12, 13).
In the group with unilateral disease, the diagnosis was giant fibroadenoma in 16, benign
phyllodes tumour in 3, malignant
phyllodes tumour in 1, fibrocystic disease in 1 and hamartoma in 2 patients.
A 25 years old unmarried woman was operated for a huge fungating tumor of right breast, proved to be a benign
phyllodes tumor by preoperative and post-operative biopsy by two different renowned histopathology laboratories.
Distinction between fibroadenoma and
phyllodes tumour is challenging on core needle biopsy13,14.
To the Editor:
Phyllodes tumors are rare fibroepithelial malignancies of the breast and account for <1% of all malignant breast tumors.[1] It is difficult to distinguish from fibroadenomas, while malignant cystosarcoma
phyllodes can grow in size quickly and metastasize early.[2] Gigantic cystosarcoma
phyllodes of the breast is very rare, thus limiting our understanding of the disease and influencing diagnostic and management outcomes.
Less frequently, it consists of malignant
phyllodes tumor-like hypercellular stroma and leaf-like glands.