Advance Malignant Phyllodes Tumor with Active Bleeding in Children: A Rare Case

Dedy Hermansyah (Division of Surgical Oncology, Department of General Surgery, Universitas Sumatera Utara, Medan)
Fernando Silalahi (Division of Surgical Oncology, Department of General Surgery, Dr. Pringadi General Hospital, Medan)
Albiner Simarmata (Division of Surgical Oncology, Department of General Surgery, Dr. Pringadi General Hospital, Medan)
Denny Rifsal Siregar (Division of Surgical Oncology, Department of General Surgery, Universitas Sumatera Utara, Medan)

Indonesian Journal of Cancer
Vol 15, No 4 (2021): December

Introduction: Phyllodes tumors are fibroepithelial breast lesions that are uncommon in women and rare among children. Due to scarcity, there are only a few large pediatric phyllodes tumor series. Current guidelines do not differentiate treatment recommendations between children and adults.Case Presentation: A 12-year-old girl presented with a lump in her right breast which grew rapidly within a month. On physical examination, we found a mass on the right breast sized ± 10 x 10 cm; the lump was fragile and bled easily. The patient’s condition was getting worse and worse. Due to this deterioration, we performed a mastectomy immediately.Conclusions: The incidence of malignant phyllodes tumor in children is very rare and required prompt treatment in emergency cases.