Fourth Annual Chicago Supportive Oncology Conference

Cystosarcoma phyllodes with lymph node metastasis

Prachi P. Agrawal, DNB, Pradeep K. Mohanta, MD, Kishor Singh, MD, and Anil K. Bahadur, MD

Department of Radiation Oncology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

Cystosarcoma phyllodes is a rare breast tumor with a low incidence of metastasis. Lymph node metastasis is even rarer. We report here a case of a 45-year-old woman who presented with a large lump in her left breast and involvement of multiple ipsilateral axillary lymph nodes. Clinical findings and cytologic examination (fine-needle aspiration) were suggestive of cystosarcoma phyllodes, for which she underwent a radical mastectomy. Postoperative histopathologic findings revealed cystosarcoma phyllodes with multiple lymph node metastases. Postoperative radiotherapy was given to the locoregional area.

Commun Oncol 2006;3:44–48   print e-mail full text 106 kb