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The phyllodes tumors are rarely found, accounting for up to 1% of cases. Phyllodes tumors tend to grow quickly, but they rarely spread outside the breast. In 2003, the World Health Organization classified the phyllodes tumors into three subtypes (benign, borderline and malignant), according to various clinicopathological characteristics, including the degree of stromal cell atypia and stromal overgrowth, tumor necrosis, the status of mitosis and the tumor margin. In this paper we present a case of giant phyllodes tumor of the breast in a young woman, with its clinicopathological particularities and the different treatment options. [ABSTRACT FROM AUTHOR]