DOI: 10.36347/sjmcr.2016.v04i07.013

Pages: 497-501

We report a case of a forty-year-old lady presenting with an ulceroproliferative lesion over lower part of left chest wall after having 5 previous operations on breast including mastectomy followed by chemotherapy and radiotherapy. MRI thorax revealed chest wall and muscle involvement with indentation of ribs, without any distant metastasis. Incision biopsy found malignant cystosarcoma phyllodes. WLE of the mass including resection of ribs followed by chest wall reconstruction was performed. In spite of resection margins being found negative on HPE, there has been local recurrence 1 year following last operation. The rarity of the diagnosis along with several discrepancies in HPE reports and repeated recurrences make this case an intriguing one.