The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 59 , ISSUE 4 ( October-December, 2017 ) > List of Articles

CASE REPORT

Unusual and Isolated Pulmonary Metastasis of Malignant Phyllodes Tumour of Breast

Susmita Reddy Karri, Heena M. Desai, Gayathri P. Amonkar

Keywords : Phyllodes tumour, Lung, Metastasis, Pulmonary tumour, Breast tumour

Citation Information : Karri SR, Desai HM, Amonkar GP. Unusual and Isolated Pulmonary Metastasis of Malignant Phyllodes Tumour of Breast. Indian J Chest Dis Allied Sci 2017; 59 (4):187-189.

DOI: 10.5005/ijcdas-59-4-187

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Though metastasis to the lung is common, isolated extensive pulmonary metastasis with complete replacement of the entire lung is unusual. We present the fatal case of a 60-year-old female patient in whom the entire left lung parenchyma was replaced by a greyish-white solid mass at autopsy. There was no evidence of tumour elsewhere in the body. She had undergone modified radical mastectomy for phyllodes tumour of the right breast 10 years back. The unusual feature of our case was the presentation of the metastasis occurring 10 years after modified radical mastectomy and completely replacing the whole of a contralateral lung mimicking a primary lung tumour, with no other organ involvement.


PDF Share
  1. Ganti S, Svennevik E, Ali FS, Anikin V. Successful resection of giant solitary pulmonary metastasis from a phyllodes tumor. Ann Thorac Surg 2007;84:1750-2.
  2. Kapiris I, Nasiri N, A'Hern R, Healy V, Gui GP. Outcome and predictive factors of local recurrence and distant metastasis following primary surgical treatment of high grade malignant phyllodes tumors of the breast. Eur J Surg Oncol 2001;27:723-30.
  3. Basara I, Altay C, Obuz F, Balci P. A rare pattern of lung metastasis of rectum adenocarcinoma. Clin Repair J 2017;11:1068-70.
  4. Fraser RG, Pare JAP, Pare PD, Fraser RS, Genereux GP. Diagnosis of Diseases of the Chest; 3rd edition. Philadelphia: WB Saunders Co.;1989:pp315-76.
  5. Parker SJ, Harries SA. Phyllodes tumors. Postgrad Med J 2001;77:428-35.
  6. Chang SS, Nakano T, Okamoto T, Takabatake D. Pulmonary metastasis from a phyllodes tumor of the breast developing sixteen years after initial surgery. Kyobu Geka 2015;68:1000-3.
  7. Hawkins RE, Schofield JB, Fisher C, Wiltshaw E, Mckinna JA. The clinical and histologic criteria that predict metastasis from cystosarcoma phyllodes. Cancer 1992;69:141-7.
  8. Garg N, Moorthy N, Agrawal SK, Pandey S, Kumaru N. Delayed cardiac metastasis from phyllodes breast tumor presenting as cardiogenic shock. Tex Heart Inst J 2011;38:441-4.
  9. Billingsley KG, Burt ME, Jara E, Ginsberg RJ, Woodriff JM, Leung DH, et al. Pulmonary metastasis from soft tissue sarcoma: analysis of patterns of diseases and post mortem survival. Ann Surg 1999;229:602-10.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.