부산대학교 도서관

The patient was a 52-year-old woman who had undergone tumor resection at 26 and 38 years of age following diagnosis of benign phyllodes tumor of the right breast. She noticed a mass in the right breast around 1995, and visited our hospital following rapid enlargement of the mass from January 2007. A mass 20 cm in size was observed in the right breast, and the patient was diagnosed with recurrence of phyllodes tumor and underwent right partial mastectomy. Pathological diagnosis was borderline lesion. Redness and swelling were observed around the wound approximately three weeks postoperatively, and the patient was diagnosed with early postoperative recurrence. Modified radical mastectomy of the right breast, right axillary lymph node dissection, and right skin graft were performed. Postoperative histopathological diagnosis was malignant phyllodes tumor, and metastasis to the right axillary lymph node was also observed. Although chemotherapy was strongly recommended to the patient due to detection of multiple lung metastases and enlargement of the right axillary lymph node on chest CT at discharge, it was refused by the patient, and follow-up observations were made on an outpatient basis. A local recurrence was observed at the site of skin graft two weeks after discharge, and the lesion showed a tendency toward further enlargement. The patient's general condition gradually deteriorated further, and she died in July of the same year.