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Abstract

Phyllodes tumour of the breast is a rare fibroepithelial neoplasm that are known to recur locally in up to 19% of patients. Exact cause is still an enigma. Clinical symptoms are extremely similar to the more common fibroadenoma and are therefore often locally excised without any gross surgical margins. Accurate preoperative pathological diagnosis allows correct surgical planning and avoidance of recurrence and subsequent surgery. In this report, we present a case of benign phyllodes tumour with a presentation of recurrence. 56 years female with a history of breast swelling size of 4cm since 3 years attended as outpatient. No lymphadenopathy was noted. A history of swelling at the same location, 5 years back which was surgically removed has been reported. FNAC was suggestive of fibroadenoma. Histopathologically the tumour was diagnosed to be phyllodes tumour. Though there is no previous report, it suggests recurrent phyllodes tumor due to their tendency to recurrence and inadequate local excision surgically. Immunohistochemistry with the markers CD34 (+), CD117 (-) and with low proliferative index of Ki67 confirms the diagnosis. Recurrent tumours are histologically similar to that of primary tumours. Core needle biopsy has been reported to be more accurate than FNAC. Our study suggests that, preoperative diagnosis and efficient surgical management are very important to avoid recurrence of phyllodes tumours.

Biography

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