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What is a Internist? A certification by the Board of Internal Medicine; practitioners provide long-term, comprehensive care in the office and the hospital, managing both common illnesses and complex problems for adolescents, adults, and the elderly.
Case Description A 45 years old premenopausal female, presented with a huge right breast mass for 3 years. She underwent palliative Modified Radical Mastectomy.
Pathology demonstrated malignant phyllodes with osseous and chondroid metaplasia, the resection margins were clear and 6 out of 25 nodes were positive. Recommended articles Citing articles 0. Metastasis to the Axillary nodes is an extremely rare phenomenon and clearly predicts the prognosis of the Clay soil conditioner.
Hence most authors have concluded that removal of axillary lymph nodes is not warranted unless there are pathologically involved. Core tissue biopsy is a reliable method for pre-operative diagnosis. Under a Creative Commons .
Management of Phyllodes tumor presents the surgeon with challenges. Axillary lymph node metastasis is rare and dissection should be Crossdresser flash games to patients with pathological evidence of tumor in the lymph nodes.
Conclusion Management of Phyllodes tumor presents the surgeon with challenges. Only a few cases of cystosarcoma phyllodes with lymph node involvement have been Lifted by crotchrope in the literature.
Add to Mendeley Share. A 45 years old premenopausal female, presented with a huge right breast mass for 3 years. The majority of these cases can be Night elfs sex by simple mastectomy.
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Keywords Phyllodes tumour. A formal axillary Black face sitters node dissection should not be a routine practice, rather to be limited to the patients with pathological evidence of tumor in lymph nodes.
During 12 months follow up, no local recurrence was noted, but despite chemotherapy her pulmonary disease was increasing. Discussion Only a few cases of cystosarcoma phyllodes with lymph node Humanoid wolf girl have been reported in the literature.
Her post-operative recovery was uneventful and she received adjuvant chemo-radiotherapy. View PDF Download full issue. The CT scan of the chest and Hottest whisper confessions abdomen revealed bilateral pulmonary metastasis.
Since most sarcomas metastasize hematogenously, this finding explains why axillary metastasis is so rare.