PERIDUCTAL STROMAL SARCOMA (LOW GRADE) WITH PROGRESSION TO BORDERLINE PHYLLODES TUMOR- A RARE CASE REPORT.

DR. ASRAFUL ALOM; DR. BARNALI DAS

Volume : VIII, Issue : II, February - 2018

PERIDUCTAL STROMAL SARCOMA (LOW GRADE) WITH PROGRESSION TO BORDERLINE PHYLLODES TUMOR- A RARE CASE REPORT.

Dr. Asraful Alom, Dr. Barnali Das

Abstract :

INTRODUCTION

Periductal stromal sarcoma is a rare fioepithelial tumor of the east that exhibits low grade malignancy and intermediate behaviour. It is characterized by proliferation of atypical spindle cells surrounding benign ductal elements and infiltrating adjacent adipose tissue. Periductal stromal sarcoma is distinguished from phyllodes tumor by its lack of leaf like architechture.

CASE REPORT

This case describes a 40 years old lady who presented with a lump in the right east since 5 months and had undergone lumpectomy. Microscopic features and immunohistochemical findings are that of periductal stromal sarcoma (low grade) with progression to borderline phyllodes tumor.

DISCUSSION

The number of available studies on PDSS is currently limited and therapeutic strategy yet to be determined. Histological diagnosis of PDSS is based on the criteria established by the Armed Forces Institute of Pathology (AFIP) and surgery with significant free margin is the cornerstone of treatment.