case_images: PMC10882246_01
case_images: Appearance of ruptured phyllodes tumor. (A) A right breast mass erupting from the paramammary nipple.. (B) Three days later, increasing erupted mass and active bleeding from the erupting mass developed.
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case_images: PMC10882246_01_cureus-0016-00000052775-i01.jpg
case_images: FIG1
case_images: Thereafter, the mass in her right breast rapidly enlarged over the next two months, erupting from the paramammary nipple, prompting her to visit our hospital (Figure 1A). However, three days later, she presented to our emergency department with an increase in erupted mass and active bleeding from the erupting mass (Figure 1B).
case_images: Breast ultrasonography and histopathological examination. Breast ultrasonography showed a lobulated mass with well-defined borders and abundant internal blood flow in the right breast.
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case_images: FIG2
case_images: Breast ultrasonography findings revealed a 90x80 mm lobulated mass with well-defined borders and abundant internal blood flow in the right breast (Figure 2).
case_images: Computed tomography of the ruptured phyllodes tumor. (A) Contrast-enhanced computed tomography (CT) findings at the initial examination findings demonstrated a 110x85 mm mass with contrast effects and calcification compressing the skin and pectoralis major muscle and a 40x35 mm mass erupting from the paramammary nipple.. (B) CT findings three days after the initial examination showed a 105x75 mm mass with contrast effects and a 100x45 mm mass erupting from the paramammary nipple.
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case_images: FIG3
case_images: Contrast-enhanced computed tomography (CT) findings revealed a 110x85 mm mass with contrast effects and calcification compressing the skin and pectoralis major muscle and a 40x35 mm mass erupting from the paramammary nipple without extravasation of contrast indicating bleeding (Figure 3A). A CT revealed a 105x75 mm mass with contrast effects and a 100x45 mm mass erupting from the paramammary nipple (Figure 3B).
case_images: Histopathological examination. Histopathological examination revealed a mixture of epithelial and stromal components, and the increased stromal component caused cleft- and leaflike appearance of the glandular ducts, resulting in a lobular morphology.
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case_images: FIG4
case_images: The increased stromal component caused a cleft- and leaf-like appearance of the glandular ducts, resulting in a lobular morphology, further confirming the diagnosis of phyllodes tumor (Figure 4).