Contrast-enhanced spectral mammographic findings of phyllodes tumor of the breast

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Orguc S., Mavili S., Açar Ç. R., AYDEDE H., KANDİLOĞLU A. R.

Egyptian Journal of Radiology and Nuclear Medicine, cilt.53, sa.1, 2022 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 53 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1186/s43055-022-00789-x
  • Dergi Adı: Egyptian Journal of Radiology and Nuclear Medicine
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Anahtar Kelimeler: Phyllodes tumors, Contrast-enhanced spectral mammographic (CESM), Breast
  • Manisa Celal Bayar Üniversitesi Adresli: Evet

Özet

Background: Phyllodes tumors of breast are rare fibroepithelial neoplasms. They have similar radiological findings with fibroadenomas. While fibroadenomas are benign lesions, phyllodes tumors may have malignant potential. Therefore, any imaging findings to differentiate fibroadenoma from phyllodes tumor are valuable. Case presentation: A 51-year-old female patient was admitted to our clinic with the complaint of a palpable mass. Tru-Cut biopsy resulted as phyllodes tumor, and excision was recommended. However, the patient neglected herself during the COVID-19 pandemic, and 20 months later, she presented with a huge and complex mass. On CESM imaging, cystic areas and clefts were identified. The case was diagnosed as borderline phyllodes tumor. Conclusions: Although MRI findings of phyllodes tumor are well known and reported many times, there is no information about CESM findings of this tumor in literature. Bubbly appearance on CESM is useful finding in the diagnosis of phyllodes tumor of breast.