Deeban Karthik, Gopinathan Athira, Bharathi Arun, G Nandhini
General Surgery, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chengalpattu, IND.
Cureus. 2024 Sep 3;16(9):e68589. doi: 10.7759/cureus.68589. eCollection 2024 Sep.
Breast masses presenting as fungating growths usually represent advanced malignancy. One remarkable exception is a benign phyllodes tumour. These tumours of stromal origin often exhibit rapid growth, resulting in pressure necrosis at the summit of the tumor causing fungation. It is difficult to differentiate between benign and malignant types clinically. Here, we describe two cases in which patients presented with fungating growth similar to a case of carcinoma breast, which turned out to be cases of benign phyllodes tumours. We would like to highlight the clinical features that differentiate between benign and malignant fungating growth and provide a brief update on the latest treatment modalities for phyllodes tumours.
表现为溃疡性生长的乳腺肿块通常代表晚期恶性肿瘤。一个显著的例外是良性叶状肿瘤。这些起源于间质的肿瘤通常生长迅速,导致肿瘤顶端的压迫性坏死,从而引起溃疡形成。临床上很难区分良性和恶性类型。在此,我们描述两例患者,其表现为类似于乳腺癌的溃疡性生长,结果却是良性叶状肿瘤病例。我们想强调区分良性和恶性溃疡性生长的临床特征,并简要介绍叶状肿瘤的最新治疗方式。