Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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Pancreatic metastasis from malignant phyllodes tumor of the breast

  • Lee, Seung Eun (Department of Radiology, Yeungnam University College of Medicine) ;
  • Bae, Young Kyung (Department of Radiology, Yeungnam University College of Medicine) ;
  • Choi, Joon Hyuk (Department of Radiology, Yeungnam University College of Medicine)
  • 투고 : 2020.09.07
  • 심사 : 2020.11.05
  • 발행 : 2021.01.31
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초록

Pancreatic metastasis from malignant phyllodes tumor (PT) of the breast is rare, and only a few cases have been reported in the literature. Here, we report a case of pancreatic metastasis from malignant PT of the breast in a 48-year-old woman. She had had three episodes of recurrence of malignant PT in her right breast. She presented with epigastric pain for 2 months. Computed tomography and magnetic resonance imaging revealed a 6 cm-sized, well-defined, heterogeneous mass with peripheral enhancement in the body of the pancreas. Endoscopic ultrasonography-guided fine-needle aspiration was performed, and the pathologic report suggested spindle cell mesenchymal neoplasm. Subsequently, surgical excision was performed, and the mass was confirmed as a metastatic malignant PT. The imaging findings are discussed and the literature is briefly reviewed in this report.

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참고문헌

  1. Telli ML, Horst KC, Guardino AE, Dirbas FM, Carlson RW. Phyllodes tumors of the breast: natural history, diagnosis, and treatment. J Natl Compr Canc Netw 2007;5:324-30. https://doi.org/10.6004/jnccn.2007.0027
  2. Mishra SP, Tiwary SK, Mishra M, Khanna AK. Phyllodes tumor of breast: a review article. ISRN Surg 2013;2013:361469. https://doi.org/10.1155/2013/361469
  3. Zhou ZR, Wang CC, Yang ZZ, Yu XL, Guo XM. Phyllodes tumors of the breast: diagnosis, treatment and prognostic factors related to recurrence. J Thorac Dis 2016;8:3361-8. https://doi.org/10.21037/jtd.2016.11.03
  4. Kessinger A, Foley JF, Lemon HM, Miller DM. Metastatic cystosarcoma phyllodes: a case report and review of the literature. J Surg Oncol 1972;4:131-47. https://doi.org/10.1002/jso.2930040208
  5. Amir RA, Rabah RS, Sheikh SS. Malignant phyllodes tumor of the breast with metastasis to the pancreas: a case report and review of literature. Case Rep Oncol Med 2018;2018:6491675. https://doi.org/10.1155/2018/6491675
  6. Ang TL, Ng VW, Fock KM, Teo EK, Chong CK. Diagnosis of a metastatic phyllodes tumor of the pancreas using EUS-FNA. JOP 2007;8:35-8.
  7. Bachert SE, Stewart RL, Samayoa L, Massarweh SA. Malignant phyllodes tumor metastatic to pancreas. Breast J 2020;26:1627-8. https://doi.org/10.1111/tbj.13987
  8. Bednar F, Scheiman JM, McKenna BJ, Simeone DM. Breast cancer metastases to the pancreas. J Gastrointest Surg 2013;17:1826-31. https://doi.org/10.1007/s11605-013-2291-5
  9. Serikawa M, Sasaki T, Kobayashi K, Itsuki H, Kamigaki M, Minami T, et al. Malignant phyllodes tumor metastatic to the pancreas: a case report. Nihon Shokakibyo Gakkai Zasshi 2012;109:795-803.
  10. Yukawa M, Watatani M, Isono S, Shiono H, Hasegawa H, Okajima K, et al. Pancreatic metastasis from phyllodes tumor presenting initially as acute retroperitoneal hemorrhage. Int Canc Conf J 2013;2:238-42. https://doi.org/10.1007/s13691-013-0098-6
  11. Asoglu O, Karanlik H, Barbaros U, Yanar H, Kapran Y, Kecer M, et al. Malignant phyllode tumor metastatic to the duodenum. World J Gastroenterol 2006;12:1649-51. https://doi.org/10.3748/wjg.v12.i10.1649
  12. Karczmarek-Borowska B, Bukala A, Syrek-Kaplita K, Ksiazek M, Filipowska J, Gradalska-Lampart M. A rare case of breast malignant phyllodes tumor with metastases to the kidney: case report. Medicine (Baltimore) 2015;94:e1312. https://doi.org/10.1097/MD.0000000000001312
  13. Khangembam BC, Sharma P, Singla S, Singhal A, Dhull VS, Bal C, et al. Malignant phyllodes tumor of the breast metastasizing to the vulva: (18)F-FDG PET-CT demonstrating rare metastasis from a rare tumor. Nucl Med Mol Imaging 2012;46:232-3. https://doi.org/10.1007/s13139-012-0154-8
  14. Low G, Panu A, Millo N, Leen E. Multimodality imaging of neoplastic and nonneoplastic solid lesions of the pancreas. Radiographics 2011;31:993-1015. https://doi.org/10.1148/rg.314105731
  15. Mitus JW, Blecharz P, Walasek T, Reinfuss M, Jakubowicz J, Kulpa J. Treatment of patients with distant metastases from phyllodes tumor of the breast. World J Surg 2016;40:323-8. https://doi.org/10.1007/s00268-015-3262-7