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Case Reports
. 2023 May 2;16(5):e250546.
doi: 10.1136/bcr-2022-250546.

Phyllodes tumour initially diagnosed as keloid

Sanjana Shivalingappa Ibrahimpur  1 , Mayura Phulpagar  2 , Ashish Jatale  1 , Jayashri Sanjay Pandya  3
Affiliations
Case Reports

Phyllodes tumour initially diagnosed as keloid

Sanjana Shivalingappa Ibrahimpur et al. BMJ Case Rep. .

Abstract

It is unusual to find a breast tumour in a keloid, as the management of both is distinct. In this case, a young woman was operated on 4 years ago, for a right chest wall swelling, situated near the inframammary fold. The histopathological report revealed a granuloma, for which anti-tuberculosis treatment was given. However, the swelling recurred and progressed in size over the next 3 years. Then, she consulted the dermatology department, where the swelling was managed as a keloid. There was no remission. Consequently, the possibility of a breast tumour was suspected, and the patient was referred to breast services (subdivision of the surgery department).Triple assessment of the breast lump was suggestive of a phyllodes tumour (PT). Surgical excision of the tumour was done, which showed a malignant PT. Radiotherapy was given and delayed breast reconstruction was planned.

Keywords: Breast cancer; Breast surgery; Pathology; Radiotherapy.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Breast lump in the lower inner quadrant of the right breast.
Figure 2
Figure 2
Breast lump with satellite lesions at 5, 7 and 12 o’clock position (features of keloid) extending into the chest.
Figure 3
Figure 3
Postoperative view after wide local excision.
Figure 4
Figure 4
Cut section of the tumour showing a solid, grey-white, firm tumour.
Figure 5
Figure 5
Microscope view showing a malignant phyllodes tumour.
See this image and copyright information in PMC

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