Breast Cancer Community
malignant phylloides
About This Community:

This patient support community is for discussions relating to breast cancer, biopsy, genetics, chemotherapy, hormone therapy, lumps, lumpectomy, lymph node dissection, lymphedema, mammograms, mastectomy, radiation therapy, reconstruction, and self exams.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

malignant phylloides

3190475?1216821080
a young female , diagnosed as having koch's due to lesions in lungs mimmicking those of koch's,on akt, presented to us  with a right breast lump [ 1 month history] of around 6x6cm size, nodulated with variegated consistancy , simple mastectomy done . H.P s/o malignant phylloides. now, should we consider the lesions in chest as metastasis of sarcoma. what should be the further line of Ix and Mx . should we go for BAL trans thoracic biopsy ?


This discussion is related to Stage/grade of malignant phylloides tumor.
Related Discussions
1 Comment
Blank
Avatar_m_tn
Hi there.

It is important that the lesions in the lungs be biopsied since if these are metastases from the phylloides tumor, it is still possible to remove these surgically and eventually improve survival (if the lesions in the lungs are less than 16 in number).  This can be done with percutaneous, CT guided biopsy.  I'm not sure if BAL will yield a good result since sarcoma cells are very hard to diagnose from washings.

It is also important to prove that this is not a Koch's infection, since if you give chemotherapy to this patient and the lung lesions are Koch's, then the chemotherapy may cause a flare or spread of the Koch's infection and cause further clinical deterioration.

Regards.
Blank
Continue discussion Blank
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Breast Cancer Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Breast Cancer Answerers
25201_tn?1255584436
Blank
japdip
587083_tn?1327123862
Blank
zouzi