title: A giant phyllodes tumor causing ulceration and severe breast disfigurement: case report and review of giant phyllodes.
abstract: Phyllodes tumors are rare fibroepithelial tumors that account for <1% of the breast tumors in women. These tumors are often benign unilateral lesions of the female breast (70%). Less common are malignant phyllodes, which have the potential for hematogenous spread. Phyllodes tumors can be seen in all age groups, and the median age of presentation is 45 years. Surgery is the main form of treatment. Wide excisions with margins of 1cm are suggested. While smaller and moderate size phyllodes may typically be seen, gigantic ones are very rare. These may be seen in neglected tumors. By definition, a giant phyllodes tumor is one larger than 10 cm in diameter. We report a gigantic phyllodes tumor that grew over 7 years period causing significant ulceration and disfigurement and review features of these tumors and management.
authors.affiliation: Department of Surgery, Division of General Surgery, Harlem Hospital Center, Columbia University, New York, NY, USA mohd.sbeih@nychhc.org.
authors.forename: Mohammed A
authors.initials: MA
authors.lastname: Sbeih
authors.affiliation: Division of Plastic and Reconstructive Surgery, Harlem Hospital Center, Columbia University, New York, NY, USA.
authors.forename: Ryan
authors.initials: R
authors.lastname: Engdahl
authors.affiliation: Department of Pathology, Harlem Hospital Center, Columbia University, New York, NY, USA.
authors.forename: Marina
authors.initials: M
authors.lastname: Landa
authors.affiliation: Department of Radiology, Harlem Hospital Center, Columbia University, New York, NY, USA.
authors.forename: Oreoluwa
authors.initials: O
authors.lastname: Ojutiku
authors.affiliation: Division of Plastic and Reconstructive Surgery, Harlem Hospital Center, Columbia University, New York, NY, USA.
authors.forename: Norman
authors.initials: N
authors.lastname: Morrison
authors.affiliation: Division of Breast Surgery, Harlem Hospital Center, Columbia University, New York, NY, USA.
authors.forename: Hector
authors.initials: H
authors.lastname: Depaz