The largest and neglected giant phyllodes tumor of the breast—A case report and literature review

• The Finding of a giant phyllodes tumor is very rare.
• The diagnosis should be entertained in all patients presenting with progressive enlargement of breast lump.
• Emphasis should be given in early diagnosis and treatment to decrease morbidity and mortality.
• Core needle biopsy is key method of preoperative diagnosis of phyllodes tumour Emphasis should be given on proper health education on breast cancer and its management.
• Patient needs to be well educated about the negative consequences of alternative or delayed treatment.

IntroductionPhyllodes tumours are rare fibro-epithelial lesions. The role of the pathologist in the preoperative diagnosis of phyllodes tumours of the breast is critical to appropriate surgical planning. Wide local excision or mastectomy with adequate margin remains the treatment of choice. Local recurrence occurs in approximately 10- 16.1% of patients (Wei et al., 2014) [1] and distant metastases occurs in 6.3–31% of patients with malignant phyllodes tumours (Wei et al. (2014), Chaney et al., 1998) [1,2] but only in 4% of all phyllodes tumours (Salvador et al., 1989) [3]. Emphasis should be given in early diagnosis and intervention to decrease morbidity and mortality.