EURORAD ESR

Case 15270

A large benign phyllodes tumor in a 56-year-old woman: a case report

Author(s)
Eliza Stavride, Charikleia Mavridou, Katerina Manavi, Melpomeni Kosmidou, Triada Malkotsi

Papageorgiou General Hospital of Thessaloniki, Radiology; Pavlos Melas Street 56429 Thessaloniki, Greece; Email:elizasta@hotmail.com
 
Patient
female, 56 year(s)
 
 
  • Figure 1
    Mammography
     

    Mediolateral oblique mammographic projection (MLO) showing a large encapsulated, lobulated, mixed but mainly isodense lesion, seen at the upper region of the right breast.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Craniocaudal mammographic projection (CC) showing a large encapsulated, lobulated, mixed but mainly isodense lesion, seen at the centre region of the right breast.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Ultrasound
     

    Ultrasound imaging showing a lobulated heterogeneous lesion with mild cystic changes, well-defined margins and posterior acoustic enhancement.

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

    Doppler ultrasound imaging showing a large heterogeneous lesion with internal vascularity.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Biopsy needle traversing the mass.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
  • Figure 3
    Computed Tomography
     

    Computed tomography image showing a large enhancing lobulated, heterogeneous mass with prominent septae.

     
    Area of Interest: Breast; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Computed tomography image showing cystic spaces within the mass representing regeneration or necrosis.

     
    Area of Interest: Breast; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Magnetic Resonance Imaging
     

    T2-weighted image showing a large lobulated heterogeneous mass. The solid components appear with intermediate signal, while the cystic spaces are hyperintense.

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

    Fat supressed T2-weighted image demonstrating better the cystic spaces. The dark foci represent areas of haemorrhage.

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

    Gadolinium enhanced T1-weighted image showing enhancement of the solid parts and prominent septae.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Mediolateral oblique mammographic projection (MLO) showing a large encapsulated, lobulated, mixed but mainly isodense lesion, seen at the upper region of the right breast.
 
Craniocaudal mammographic projection (CC) showing a large encapsulated, lobulated, mixed but mainly isodense lesion, seen at the centre region of the right breast.
 
Ultrasound imaging showing a lobulated heterogeneous lesion with mild cystic changes, well-defined margins and posterior acoustic enhancement.
 
Doppler ultrasound imaging showing a large heterogeneous lesion with internal vascularity.
 
Biopsy needle traversing the mass.
 
Computed tomography image showing a large enhancing lobulated, heterogeneous mass with prominent septae.
 
Computed tomography image showing cystic spaces within the mass representing regeneration or necrosis.
 
T2-weighted image showing a large lobulated heterogeneous mass. The solid components appear with intermediate signal, while the cystic spaces are hyperintense.
 
Fat supressed T2-weighted image demonstrating better the cystic spaces. The dark foci represent areas of haemorrhage.
 
Gadolinium enhanced T1-weighted image showing enhancement of the solid parts and prominent septae.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version