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CC view mammogram of the left breast showing 3.4 x 2.7 cm lesion right adjacent to dense breast tissue.
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In 2017, follow-up mammogram and ultrasound were conducted which revealed this same lesion to have changed to a macro-lobulated heterogeneous hypoechoic mass measuring approximately 2.9-cm with a BI-RADS score of 4 raising suspicion of malignancy and therefore, required a biopsy (Figs 1, 2 ).
A) Ultrasound of the left breast mass at 3 o'clock - Sagittal view. B) Ultrasound of the left breast mass at 3 o'clock - Transverse view.
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In 2017, follow-up mammogram and ultrasound were conducted which revealed this same lesion to have changed to a macro-lobulated heterogeneous hypoechoic mass measuring approximately 2.9-cm with a BI-RADS score of 4 raising suspicion of malignancy and therefore, required a biopsy (Figs 1, 2 ).
Architectural Pattern of Phyllodes Tumor.
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The pathology report suggested phyllodes tumor bordering between a borderline and malignant phyllodes tumor which prompted surgical excision of the lesion (Fig. 3.