Malignant Phyllodes Tumor Presenting in Bone, Brain, Lungs a
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Phyllodes tumors (PTs) are rare fibroepithelial tumors of the breast which are classified as benign, borderline or malignant. Malignant PTs account for <1% of malignant breast tumors and borderline tumors have potential to progress to malignant tumors. Metastatic recurrences are most commonly documented in bone and lungs. We report an extremely rare presentation of recurrent malignant PTs involving the brain, lung, lymph nodes and bone. A 66-year-old female presented with a large breast mass. Biopsy identified malignant PT, treated by mastectomy. One year later she presented with acute back pain; imaging showed pathological L4 spinal compression fracture. Core biopsy confirmed PT. Staging identified additional metastases in the lymph nodes, brain and lung....

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