This 35 year old Asian lady presented with a long standing lump in the left breast. However, she had noticed a recent and rapid increase in its size.
On inspection there was a very large mass in the upper half of the left breast with visible veins overlying it.
On palpation there was a firm, mobile, non tender mass with distinct borders occupying all quadrants of the breast. The axilla was normal.
What is your diagnosis? Click
This is likely to be a Phylloides tumour
Phylloides tumours generally present as large masses with sudden rapid growth.
Physical findings are similar to fibro adenomas
Why? Click
What is the differential diagnosis? Click
By histology. Imaging and FNAC are not definitive.
How do you confirm the diagnosis? Click
By wide local excision with a rim of normal tissue or mastectomy, with or without reconstruction. Radical procedures are not warranted
Phylloides tumour 