title: Extreme delay in care for enlarging breast mass.
abstract: Phyllodes tumor (PT) of the breast is an uncommon fibroepithelial tumor accounting for 0.37% of primary breast cancers. Most PT are <5.0 cm, averaging 4-7 cm. We present a case of PT measuring 28 cm in diameter with an extreme computed tomography image with tumor size larger than the adjacent thoracic circumference. A 59-year-old uninsured woman without significant medical history presented with a massive ulcerated chest wall tumor. The mass was resected, and microscopic examination demonstrated spindled cells within a myxoid stroma, consistent with PT.
authors.affiliation: Department of Medicine, Hennepin County Medical Center, University of Minnesota Medical School, Minneapolis, Minnesota, USA. aaron.rutzick@hcmed.edu
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Rutzick
authors.forename: Scott F
authors.initials: SF
authors.lastname: Davies
mesh_terms: D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D057210:Delayed Diagnosis / Q000191:economics* / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D003557:Phyllodes Tumor / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome