case_images: PMC4266253_01
case_images: (A and B) Right chest wall mass measuring 29.5x26.0x14.0 cm that ulcerated the overlying skin and formed a fungating necrotic skin lesion.
case_images: cmar-6-467f1.jpg
case_images: PMC4266253_01_cmar-6-467f1.jpg
case_images: f1-cmar-6-467
case_images: Physical examination was remarkable for a large, firm, mobile, fungating, right breast mass measuring 29.5x26.0x14.0 cm, with a necrotic core and three ulcerated lesions (Figure 1A and B).
case_images: Sectioning revealed a nodular mass having a tan-white fleshy cut surface with both myxoid and fibrous areas, along with scattered areas of necrosis. The area corresponding to the fungating lesion had a necrotic rim with a hemorrhagic cut surface.
case_images: cmar-6-467f2.jpg
case_images: PMC4266253_01_cmar-6-467f2.jpg
case_images: f2-cmar-6-467
case_images: Histopathology of the right breast mass (Figures 2 and 3) showed a malignant, high-grade PT with a tiny focus of invasive ductal carcinoma.
case_images: Microscopic examination of the resected specimen (10x magnification) showed a malignant phyllodes tumor with extensive stromal overgrowth (A). The stromal component varied in cellularity, with some areas (50x magnification) having a low-grade appearance (B), while others (50x magnification) had a more high-grade appearance with increased cellularity, nuclear pleomorphism, and numerous mitotic figures (C).
case_images: cmar-6-467f3.jpg
case_images: PMC4266253_01_cmar-6-467f3.jpg
case_images: f3-cmar-6-467
case_images: Histopathology of the right breast mass (Figures 2 and 3) showed a malignant, high-grade PT with a tiny focus of invasive ductal carcinoma.