PMC9897893_01
Anterior profile of the clinical presentation with bilateral breasts lumps (right more than left) and bilateral inguinal masses.
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The swellings were both 10 x 6 cm in size and directed inferomedially ( Fig. 1 ).
T1- and T2-weighted magnetic resonance imaging (MRI) transverse section of pelvis showing bilateral testis. White arrow showing the right testis, white arrow head showing the right epididymis, and the black arrow with white outline showing the left testis.
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T1WI, and heterogeneous postcontrast enhancement ( Fig. 2 ).
Peripheral venous blood karyotyping showing 46XY disorder of sex differentiation.
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 Karyotyping was done which showed 46XY disorder of sex differentiation ( Fig. 3 ).
Low power view of the right breast showing benign phyllodes with overgrown stroma and sparse epithelial elements.
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 Microscopic examination of the right breast tissue was suggestive of benign phyllodes tumor with free margins ( Fig. 4 ).
Low power view of the left breast showing malignant phyllodes with muscle invasion.
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Left breast tissue and lymph nodes were suggestive of malignant phyllodes tumor with fibrosarcomatous, osseous, and chondroid areas seen along with muscle invasion ( Fig. 5 ).
Anterior profile of the postoperative presentation prior to discharge.
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 Patient was discharged on postoperative day 8 after all subcutaneous drains were removed with a healthy suture line ( Fig. 6 ).