{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:32:01Z","timestamp":1768433521022,"version":"3.49.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":562,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Phyllodes tumor of the breast is a rare cause of breast cancer, accounting for less than 0.5% of breast cancers. These tumors are classified as benign, borderline, or malignant, with malignant tumors compromising nearly 25% of cases. Metastases occur in 20% of malignant tumors, lungs, bones, liver and brain being the frequent sites of metastases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We present a case of a metastatic phyllodes tumor to the small bowel causing jejunal intussusception, symptomatic anemia, and small bowel obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Patients with phyllodes tumor of the breast can develop disease recurrence even years after initial treatment. Phyllodes tumor metastasizing to the small bowel is extremely rare, with only three known previously described case reports in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>High risk patients, with a past medical history of phyllodes breast cancer, should be monitored closely. Even years after breast cancer treatment, these patients may present with gastrointestinal complaints such as obstruction or bleeding, and therefore metastatic disease to the small bowel should be considered on the differential with subsequent abdominal imaging obtained.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2011.10.015","type":"journal-article","created":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T01:54:44Z","timestamp":1320890084000},"page":"62-64","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Anemia and jejunal intussusception"],"prefix":"10.1097","volume":"3","author":[{"given":"Sidney A.","family":"Schechet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik P.","family":"Askenasy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagar","family":"Dhamne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradford G.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-8-20260114","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1177\/000313480006600408","article-title":"Phyllodes tumors of the breast: a review of 32 cases","volume":"66","author":"Geisler","year":"2000","journal-title":"Am Surg"},{"key":"R2-8-20260114","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1111\/j.1365-2559.1995.tb00212.x","article-title":"Phyllodes tumours of the breast: a clinicopathological review of thirty-two cases","volume":"27","author":"Moffat","year":"1995","journal-title":"Histopathology"},{"key":"R3-8-20260114","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.1002\/1097-0142(197805)41:5<1974::AID-CNCR2820410543>3.0.CO;2-C","article-title":"Cystosarcoma phyllodes: a clinicopathologic analysis of 42 cases","volume":"41","author":"Pietruszka","year":"1978","journal-title":"Cancer"},{"key":"R4-8-20260114","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1053\/ejso.2001.1207","article-title":"Outcome and predictive factors of local recurrence and distant metastases following primary surgical treatment of high-grade malignant phyllodes tumours of the breast","volume":"27","author":"Kapiris","year":"2001","journal-title":"European Journal of Surgical Oncology"},{"key":"R5-8-20260114","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1136\/pmj.77.909.428","article-title":"Phyllodes tumours","volume":"77","author":"Parker","year":"2001","journal-title":"Postgrad Med J"},{"key":"R6-8-20260114","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.3748\/wjg.v12.i10.1649","article-title":"Malignant phyllodes tumor metastatic to the duodenum","volume":"12","author":"Asoglu","year":"2006","journal-title":"World J Gastroenterol"},{"key":"R7-8-20260114","doi-asserted-by":"crossref","first-page":"193","DOI":"10.3816\/CBC.2009.n.033","article-title":"Metastatic phyllodes tumor causing small-bowel obstruction","volume":"9","author":"Kelly","year":"2009","journal-title":"Clin Breast Cancer"},{"key":"R8-8-20260114","doi-asserted-by":"crossref","first-page":"W29","DOI":"10.1308\/147870810X12699662981357","article-title":"Ileocaecal intussusception secondary to metastatic phyllodes tumour of the breast","volume":"92","author":"Morcos","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"R9-8-20260114","doi-asserted-by":"crossref","first-page":"2715","DOI":"10.1016\/j.ejca.2006.05.040","article-title":"Sarcomas and malignant phyllodes tumours of the breast\u2014a retrospective study","volume":"42","author":"Confavreux","year":"2006","journal-title":"Eur J Cancer"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261211001234?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261211001234?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201203020-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:22:09Z","timestamp":1768396929000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201203020-00008"}},"subtitle":["An unusual presentation for a metastatic phyllodes breast tumor"],"short-title":[],"issued":{"date-parts":[[2012,1]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2011.10.015","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2012,1]]}}}