title: Dumbbell metastatic cystosarcoma phyllodes of the heart and lung.
abstract: Cystosarcoma phyllodes is an uncommon breast tumor that rarely metastasizes. A case of dumbbell cystosarcoma phyllodes metastatic to the heart and lung diagnosed antemortem is described. The roles of diagnostic echocardiography and surgical excision are discussed. Atrial extension of a lung malignancy through a pulmonary vein is not an absolute contraindication to operation, but careful patient selection and operative planning are required.
authors.affiliation: Department of Surgery, University of British Columbia/Vancouver General Hospital, Canada.
authors.forename: A G
authors.initials: AG
authors.lastname: Fleisher
authors.forename: F O
authors.initials: FO
authors.lastname: Tyers
authors.forename: D
authors.initials: D
authors.lastname: Hu
authors.forename: E M
authors.initials: EM
authors.lastname: Webber
authors.forename: C
authors.initials: C
authors.lastname: Essery
mesh_terms: D001943:Breast Neoplasms; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology; D009364:Neoplasm Recurrence, Local; D003557:Phyllodes Tumor / Q000473:pathology / Q000556:secondary*; D011664:Pulmonary Valve / Q000473:pathology; D011667:Pulmonary Veins / Q000473:pathology