A rare case of a giant phyllodes tumor with degeneration and bleeding: diagnosis and treatment difficulties

• Alexey V. Shabunin ^{[1] [2] [4]} ; David D. Dolidze ^{[1] [2] [4]} ; Malikat M. Magomedova ^[2] ; Serghei Covantsev ^{[1] [3]} ; Anna S. Sukhotko ^[4] ; Ivan N. Lebedinsky ^{[1] [4]}
  1. [1] Department of Clinical Research and Development, Botkin Hospital, Moscow, Russian Federation
  2. [2] Department of Surgery, Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation
  3. [3] Department of Emergency Surgery Nº 76, Botkin Hospital, Moscow, Russian Federation
  4. [4] Department of General Oncology Nº 71, Botkin Hospital, Moscow, Russian Federation

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• Localización: Academic Journal of Health Sciences: Medicina Balear, ISSN-e 2255-0560, Vol. 39, Nº. 1, 2024, págs. 170-175
• Idioma: inglés
• DOI: 10.3306/AJHS.2024.39.01.170
• Títulos paralelos:
  • Un caso raro de tumor filoides gigante con degeneración y hemorragia: dificultades de diagnóstico y tratamiento
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• Resumen
  • español

    Uno de los principales problemas a nivel mundial en oncología y cirugía es el cáncer de mama. En 2020 se diagnosticaron 2.261.419 nuevos casos de cáncer de mama, lo que supone el 11,7% del total de casos diagnosticados de tumores malignos de diversas localizaciones y es una de las principales causas de mortalidad en la mujer. El diagnóstico del cáncer de mama es a menudo un caso difícil cuando no hay verificación histológica del tumor o los resultados no son concluyentes. En estos casos es esencial excluir adecuadamente las masas benignas. Entre las neoplasias benignas, ocupa un lugar especial un tipo de tumor extremadamente raro: el tumor filodes, que constituye el 0,3-0,5% de todos los tumores de mama. Un tumor filodes es una neoplasia fibroepitelial caracterizada por una tasa de desarrollo extrema y la capacidad de transformarse en un tumor maligno (sarcoma). El presente caso describe un tumor filodes gigante con degeneración y hemorragia que requirió tratamiento de urgencia.

  • English

    One of the leading problems worldwide in oncology and surgery is breast cancer. There were 2,261,419 newly diagnosed cases of breast cancer in 2020, which is 11.7% of the total number of diagnosed cases of malignant tumors of various localizations and is one of the leading causes of mortality in women. The diagnosis of breast cancer is often a difficult case when there is no histological verification of the tumor or the results are inconclusive. In these setting proper exclusion of benign masses is essential. Among the benign neoplasms, a special place is occupied by an extremely rare type of tumor – a phyllodes tumor, which makes up 0.3-0.5% of all breast tumors. A phyllodes tumor is a fibroepithelial neoplasm characterized by an extreme rate of development and the ability to transform into a malignant tumor (sarcoma). The current case report describes a giant phyllodes tumor with degeneration and bleeding the required emergency treatment.

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