Cantürk Alp Ömer, Yilmaz Hasan, Yildirim Buse, Barut Saime Gul, Erözgen Fazilet
Surgery, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, TUR.
Pathology, Haseki Training and Research Hospital, Istanbul, TUR.
Cureus. 2024 Aug 1;16(8):e65923. doi: 10.7759/cureus.65923. eCollection 2024 Aug.
Regardless of whether they are benign or malignant, phyllodes tumors can behave unpredictably and aggressively. Sometimes they grow so quickly and can cause clinically different, rare, and difficult situations to manage. Because of these characteristics, they can be fatal, even if they are benign. Sometimes, emergency surgical operations may be required due to the occurrence of these conditions even before the diagnosis. We report the first case of a massive bilateral phyllodes tumor, which causes severe bleeding because of rapid growth, which resulted in emergency surgery performed after a blood transfusion. The pathological diagnosis had not yet been confirmed at the time we operated on the patient, and the postoperative pathologic examination revealed that it was a phyllodes tumor. After the successful surgical operation, the patient recovered and was discharged. In this case report, we shared the presentation and management of the emergency phyllodes tumorous phenomenon. We also conveyed our views on what could have been done differently in the management of the presented case.
无论叶状肿瘤是良性还是恶性，其行为都可能难以预测且具有侵袭性。有时它们生长迅速，会导致临床上不同、罕见且难以处理的情况。由于这些特性，即使是良性的叶状肿瘤也可能是致命的。有时，甚至在诊断之前，由于这些情况的发生，可能需要进行急诊手术。我们报告首例巨大双侧叶状肿瘤病例，该肿瘤因生长迅速导致严重出血，在输血后进行了急诊手术。在我们对患者进行手术时，病理诊断尚未得到证实，术后病理检查显示为叶状肿瘤。手术成功后，患者康复出院。在本病例报告中，我们分享了急诊叶状肿瘤现象的表现及处理。我们还就本病例处理中原本可以采取的不同做法发表了看法。
