Gan to kagaku ryoho. Cancer & chemotherapy · 2018
[A Case of a Malignant Phyllodes Tumor That Was Difficult to Distinguish from Stromal Sarcoma].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Goto Wataru, Kashiwagi Shinichiro, Takada Koji, Asano Yuka, Morisaki Tamami, Noda Satoru, Takashima Tsutomu, Onoda Naoyoshi, Hirakawa Kosei, Ohira Masaichi
Аннотация
A 72-year-old woman visited our hospital with the chief complaint of a mass in the right breast. Breast ultrasonography revealed a hypoechoic area with a distinct border in the right breast. A core needle biopsy showed the proliferation of spindle cells in the stroma, and she was diagnosed with stromal sarcoma or malignant phyllodes tumor. Right lumpectomy was performed. Pathological examination revealed a malignant phyllodes tumor with a sarcomatous lesion. Although she did not receive adjuvant chemotherapy, she is alive without any recurrence 2 years after the surgery. It is difficult to distinguish phyllodes tumors from stromal sarcoma, based on core needle biopsy, and the prognosis of malignant phyllodes tumors with distant metastases is poor. Rapid surgery to determine an accurate diagnosis and careful follow-up after surgery are impor- tant.