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Borderline phyllode tumour of the breast metastatic to the scalp - a case report

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Author(s): Carlos Garrudo

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830


ABSTRACT
Phyllode tumours of the breast are unusual fibroepithelial neoplasms that, according to the World Health Organisation, are histologically classified as benign, borderline or malignant. They usually have a benign clinical course. Malignant variants have increased probability of local recurrence and distant dissemination. Perhaps because of their rarity and erratic clinical behaviour, these tumours are incompletely understood and the histologic classification correlates poorly with the patient's prognosis. As an example of this difficulty, the authors report the case of a 61 year-old woman with a borderline phyllode tumour of the breast submitted to mastectomy. The tumour recurred locally and became metastatic to the scalp, lungs and spleen. The patient died 15 months after surgery. To the best of our knowledge, this patient represents the second reported case of phyllode tumours metastatic to the scalp.
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