Phyllodes tumors are rare fibro epithelial lesions of the breast. Women of 5^th decade are commonly involved. Phyllodes tumor can be benign, borderline and malignant. Recurrence is seen early in malignant tumors. Prompt preoperative cytological diagnosis is necessary for adequate surgical planning, reducing recurrence and subsequently reoperation. Preoperative differentiation between benign and malignant phyllodes is possible by cytology. Palpable lymph nodes, chest wall infiltration and distant metastasis are less frequent in malignant phyllodes tumors. Surgical management is the mainstay can be either wide local excision or mastectomy, but achieving histologically clear margins by surgery is crucial as local recurrence has been associated with inadequate local excision. Our report of similar case of recurrent malignant phyllodes tumor is to enlighten about the need of better surgical management and close follow up of the patients.

Keywords: phyllodes tumors, fibro epithelial lesions, mastectomy.

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Noor Elahi Pasha

Post Graduate, Department of Surgery, GMC Kota

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