title: The largest and neglected giant phyllodes tumor of the breast-A case report and literature review.
abstract: Phyllodes tumours are rare fibro-epithelial lesions. The role of the pathologist in the preoperative diagnosis of phyllodes tumours of the breast is critical to appropriate surgical planning. Wide local excision or mastectomy with adequate margin remains the treatment of choice. Local recurrence occurs in approximately 10- 16.1% of patients (Wei et al., 2014) [1] and distant metastases occurs in 6.3-31% of patients with malignant phyllodes tumours (Wei et al. (2014), Chaney et al., 1998) [1,2] but only in 4% of all phyllodes tumours (Salvador et al., 1989) [3]. Emphasis should be given in early diagnosis and intervention to decrease morbidity and mortality.
authors.affiliation: San Fernando Teaching Hospital, Trinidad and Tobago. Electronic address: shar_islam7@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Islam
authors.affiliation: San Fernando Teaching Hospital, Trinidad and Tobago. Electronic address: jitshahtrini@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Shah
authors.affiliation: Department of Clinical surgical Sciences, University of West Indies; St. Augustine, Trinidad and Tobago. Electronic address: patrick_harnarayan@hotmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Harnarayan
authors.affiliation: Department of Clinical surgical Sciences, University of West Indies; St. Augustine, Trinidad and Tobago. Electronic address: vnaraynsingh@gmail.com.
authors.forename: V
authors.initials: V
authors.lastname: Naraynsingh
keywords: Benign giant phyllodes tumor; Giant fibroadenoma; Invasive adenocarcinoma of the breast; Malignant phyllodes tumor