MALLIGNANT PHYLODES TUMOR IN PREGNANCY

Fahreza Lazuardi Nasution1, Nicko Pisceski Kusika Saputra2

1
Resident Department of Obstetric and Gynecology, Faculty of Medicine of Riau University, Pekanbaru, Indonesia
2
Department of Obstetric and Gynecology, Faculty of Medicine of Riau University, Pekanbaru, Indonesia

ABSTRACT

Introduction: Less than 1% (0.3% to 0.5%) of all female breast neoplasms are phyllodes tumors of the breast,
Formerly known as cystosarcoma phyllodes. Few occurrences have been documented during pregnancy. Over 10 cm
in diameter, or giant phyllodes tumors, make up around 20% of all phyllodes tumors. 1 The name "phyllodes tumor"
is derived from the characteristic intracanalicular growth pattern of fibroepithelial cells with deep, leaf-like stromal
projections into dilated lumens. Presentation during pregnancy is incredibly unusual, may expand quickly, and is
generally greater in size. Case Report: A 32-year-old multiparous patient came to the emergency room at Arifin
Achmad Hospital with complaints of shortness of breath for the previous 3 weeks. The patient had been treated at
another hospital, but due to a worsening condition, the patient was referred. The patient was 33 weeks pregnant, had
an ultrasound done, and the condition of the fetus was good, with a head presentation of 2200 grams. The patient
had a mastectomy two months ago in an external hospital due to a lump in the breast; the PAresults showed a
malignant phyloides tumor. Since then, the patient has gradually felt short of breath. The surgeon said that this
tumor can be affected by pregnancy. The results of the chest x-ray show the presence of suspected metastases.