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An Ulcerated Giant Malignant Phyllodes Tumour Presenting in Septic Shock.

A 60-year-old post-menopausal woman of very low socioeconomic and educational status presented to the emergency department with a large bosselated mass in the right breast for 12 months and ulceration of the mass for six months [Table/Fig-1]. The mass was firm in consistency, non-tender and mobile with well defined margins. The contralateral breast was atrophic. There was no palpable lymphadenopathy in either axilla. She had a very poor general condition, with foul smelling discharge and presence of maggots in the ulcer. She did not have any co-morbid illness. At the time of presentation the patient was confused, dehydrated and pale. The pulse was 112/min, the blood pressure was 78/56mm Hg, and the respiratory rate was 18/min.