PMC3666329_01
Ulcerated fungating mass, with irregular surface and nodular appearance, occupying the lower and outer quadrants of the right breast, at the time of presentation.
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fig1
Physical examination presented a hanging mass which was ulcerated, having irregular surface and nodular appearance, occupying the lower and outer quadrant of the right breast (Figure 1).
The patient underwent wide excision of the mass under general anesthesia. The resected specimen was nodular; measuring 9.5 x 8.5 x 4.5 cm in size and the tumor was not invasive to the surrounding tissues.
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The patient underwent wide excision of the mass under general anesthesia; we took a one-centimeter margin from the clinically palpable periphery of the tumour (Figures 2 and 3).
The resected specimen was firm in consistency and was found attached to the underlying structures by a stalk-like process. The resection included one centimeter of margin from the clinically palpable periphery of tumor.
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The patient underwent wide excision of the mass under general anesthesia; we took a one-centimeter margin from the clinically palpable periphery of the tumour (Figures 2 and 3).
Histological analysis of the surgical specimen demonstrated stromal and epithelial components arranged in undulating configuration with several slit-like spaces and crevices. The protrusion of the stromal part into the ductal lumen gives it the characteristic "leaf-like" appearance (H & E).
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The anatomopathologic analysis of the surgical specimen revealed epithelial-lined cystic spaces into which the hypercellular stroma was projected, the stroma cellularity was low with mild pleomorphism and low mitotic activity, features compatible with benign Phyllodes tumor (Figure 4), confirming the initial diagnosis.