EURORAD ESR

Case 15193

A rare case of intracystic appearance of phyllodes tumour of the breast- a case report

Author(s)
Dr. Jeevanjot Matharoo , Dr. Jyoti Arora, Dr. Nupur Patel

Department of Radiology and Nuclear medicine, MEDANTA, The Medicity , Gurugram, Haryana, India ; Email:drjeevanjot1521@gmail.com
 
Patient
female, 48 year(s)
 
 
  • Figure 1
    sonography- Left Breast
     

    Large cystic solid lesion in the lower outer quadrant of left breast

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;

    Vascularity seen within the solid component whereas bright echoes (likely blood) seen within the cystic component

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;

    Adjacent to the larger cystic solid lesion (index), another irregular mass was noted.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;

    The adjacent irregular mass appeared to be in continuity with the solid component of the index lesion.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
  • Figure 2
    Contrast enhanced MRI of the breast
     

    Substracted MIP image shows a large lesion in the outer half of left breast with benign changes in the contralateral breast

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;

    Large cystic solid lesion is seen in the left breast

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;

    Irregular mass in the adjoining breast parenchyma appearing to be in continuity with the cystic solid lesion of the left breast

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;

    T1 and T2 hyperintense fluid was seen within the cystic component of the lesion suggestive of blood products with fluid debris levels.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Neoplasia;

    Solid component of the lesion in the left breast showing minimally low ADC values.

     
    Area of Interest: Breast; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Imaging sequences; Special Focus: Neoplasia;
     
     
  • Figure 3
    Intraoperative image of the left breast

    Intraoperative image shows the lobulated lesion

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Surgery; Special Focus: Neoplasia;
     
     
Large cystic solid lesion in the lower outer quadrant of left breast
 
Vascularity seen within the solid component whereas bright echoes (likely blood) seen within the cystic component
 
Adjacent to the larger cystic solid lesion (index), another irregular mass was noted.
 
The adjacent irregular mass appeared to be in continuity with the solid component of the index lesion.
 
Substracted MIP image shows a large lesion in the outer half of left breast with benign changes in the contralateral breast
 
Large cystic solid lesion is seen in the left breast
 
Irregular mass in the adjoining breast parenchyma appearing to be in continuity with the cystic solid lesion of the left breast
 
T1 and T2 hyperintense fluid was seen within the cystic component of the lesion suggestive of blood products with fluid debris levels.
 
Solid component of the lesion in the left breast showing minimally low ADC values.
 
Intraoperative image shows the lobulated lesion
 
 
 
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