Deepak Singh Mouni, B R Poudel , R K Shah , S. Pandey, Ankita Adhikari
Phyllodes tumor of the breast is rare fibroepithelial neoplasm, which accounts for 0.3–1% of all tumors. Few case reports have described the occurrence of giant phyllodes tumor. To our knowledge, about 20% of phyllodes tumors are encounterd as giant. Complete surgical excision is the standard of care for giant benign phyllodes tumors; axillary lymph node metastasis is rare, and dissection should be limited to patients with pathologic evidence of tumor in the lymph nodes. We report a case of 21 years female from remote area of nepal who underwent lumpectomy twice at other centers with diagnosis of recurrent fibroadenoma. She presented at our centre with gaint tumor with Hb % 5.5 gm /dl .Three pint of whole blood was transfused and then simple mastectomy was performed. The pathology reports showed tumor of 4866 gm in weight and 26.2×18.3×7 cm in size and diagnosed as benign phyllodestumor.We do not suggest adjuvant radiation therapy for patients with benign phyllodes tumors that are excised with adequate margin. A review of literature was done for the following patient.