version ISSN 1029-3019
ARIAS BEATON, Ernesto et al. Phyllodes tumor of the breast with lung metastasis. MEDISAN [online]. 2012, vol.16, n.4, pp. 612-617. ISSN 1029-3019.
The case report of a 63-year-old patient is described, who was admitted to "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital of Santiago de Cuba due to persistent dry cough, little expectoration (sometimes yellowish), asthenia and loss of weight. On physical examination a tumor was palpated in the right breast, which was confirmed through sonography and mammogram. The results of the fine-needle biopsy were positive for neoplastic cells, consistent with carcinoma. Chest radiography and computerized axial tomography revealed the presence of lung metastatic images, reason why tumor excision with a safety margin of 2 cm was performed. The presence of phyllodes tumor was confirmed by means of the histopathologic study, so that it was necessary to indicate 3 cycles of chemotherapy (CISCYVADACT scheme), of which only two were administered as the old woman had an unfavorable course and she died 3 months later.
Keywords : woman; cystosarcoma phyllodes; phyllodes tumor; breast neoplasm; fine-needle biopsy; lung metastasis; excision; chemotherapy.