A 54-year-old self-employed cattle farmer first noticed a small tumor in her left breast at age 19. Over time, the tumor grew from the size of a small pea to a massive size. Finally, family members convinced the patient to seek medical attention. …. Also, there was
no family history of breast cancer on either side of her family. …….The patient, 5’5”, 201 pounds, presented with the left breast entirely replaced with a solid, irregularly shaped, somewhat moveable mass of tremendous size. She had a very deep groove on her left shoulder from her bra strap, very enlarged veins, and no ulcerations, bleedings, or discharge noted. The nipple-areolar complex was shifted medially about 10 cm, and there were no palpable supraclavicular or axillary nodes. The tumor extended toward, but not into, the left axilla. The tumor measured 60 cm from the superior to the inferior tip, and 97 cm circumferentially from laterally to medially.
the breast. They point out the tumor was first described in 1928. The name cystosarcoma phyllodes comes from the Greek word, “sarcoma” implying a fl eshy tumor, and “phyllo” for leaf.
but may grow aggressively and can reoccur locally.
findings may be similar.
Breast Masses in Adolescent Girls (July 24, 2008)
Case Report of a 30.8 Pound Cystosarcoma Phyllodes of Breast; Journal of the Arkansas Medical Society, Vol 106, No 6, pp134-136; Connie Hiers MD, John Cook MD, Elizabeth Sales MD