1269 A Rare Case of Bilateral Phyllodes Tumour of the Breast
H Ikram, L Wyld- Surgery
Abstract
Introduction
Phyllodes tumours are rare breast fibroepithelial neoplasms. More rare presentations of these tumours include bilateral disease. Surgical excision with clear margins is the treatment of choice.
Case Summary
We report a case of a 60-year-old female with bilateral asynchronous breast Phyllodes. She initially underwent an excision of a left breast lump that revealed a borderline malignant Phyllodes. Six years later she presented with a lump in her right breast for three months and underwent a lumpectomy that revealed a malignant Phyllodes. Subsequently she had an excision of the inferior margin, and a staging computed tomography scan showed no evidence of metastasis. She was referred for genetic testing and adjuvant radiotherapy.
Discussion
In conclusion, bilateral representation of Phyllodes is rare and this is one of few cases reported in literature. In view of limited evidence available, the management of these patients is quite challenging. The indication of radiotherapy and chemotherapy in managing these tumours remains controversial and highlights the need for clear guidelines.