CASE 292: BREAST TUMOR of a YOUNG GIRL, Dr PHAN THANH HẢI- Dr JASMINE THANH XUÂN, Dr HỒ CHÍ TRUNG, Dr TRẦN THỊ HỒNG VÂN, Dr VÕ ĐĂNG HÙNG, Dr NGUYỄN SÀO TRUNG, Dr HỨA THỊ NGỌC HÀ, MEDIC MEDICAL CENTER, HCMC, VIETNAM

15yo patient from Dong thap province. For one month there was a small lump which was about one finger at right breast but it was getting bigger rapidly, and painless.

Right breast mass presented hypoechoic pattern, nearly took entirely breast volume, # 8cm x 10cm, hypervascular. Upon breast US the mass was inhomogenous, increasing diastolic phase and decreasing RI=0.37.

Mammo and MRI= Phyllod tumor or huge fibrosarcoma (BIRADS 3-4).

Core biopsy and immunohistostaining result: Malignant phyllod tumor or sarcoma of myxoid cellular stroma.

Radical mastectomy was done. Microscopic result was poor differentiated sarcoma.

Reference