A HUGE MALIGNANT PHYLLODE TUMOR OF THE BREAST IN WHICH THE TUMOR PENERTRATED THE SKIN TO BE EXPOSED -A CASE REPORT-

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  • HASEBE Hiroyuki
    Department of Surgery, Kawasaki Saiwai Hospital
  • TAKEDA Yasutaka
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • YANAGIE Hironobu
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • AKIYAMA Nachio
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • YOSHIZAKI Iwao
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • FUJI Yuzo
    Department of Surgery, The Institute of Medical Science, The University of Tokyo
  • ERIGUCHI Masazumi
    Department of Surgery, The Institute of Medical Science, The University of Tokyo

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  • 皮膚を穿破し腫瘤が露出した巨大乳腺悪性葉状腫瘍の1例

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Abstract

A 41-year-old woman had felt a pain and noticed a mass in the right breast since March, 1993, but she did not consult any hospital and had been treated by some folk medicien. Five months later the mass started to enlarge rapidly, and eventually it penetrated the skin to be exposed on the surface during a further 5-month period. The patient was admitted to the hospital for operation. On admission the tumor presented a cauliflower like proliferation occupying the entire right breast. It was 23×19.4cm in size, easily hemorrhagic, and discharged a large quantity of exudate. Pathological diagnosis on biopsy at another hospital indicated that the tumor was benign phyllode tumor. But we were not able to rule out a possibility of malignancy, because the tumor rapidly enlarged in one year and was huge in size. Modified radical mastectomy (Patrey method) and full-thickness graft were performed. Histopathological examination confirmed malignancy. There has been no sign of recurrence, as of about 2 years after the operation. She is doing well.

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