PMC5575441_01
Large left breast mass on clinical examination.
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The overlying skin appeared thickened with prominent capillaries over the lateral aspects but there was no ulceration noted (Fig. 1).
Computed Tomography of Chest demonstrating the left breast mass.
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A computed tomography (CT) of the chest revealed a 17 cm left breast mass contacting the thoracic wall (Fig. 2).
Core biopsy of left breast mass show a cellular fibroepithelial lesion. The intervening stroma is mildly cellular. H & E 40X.
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No stromal atypia or mitoses were seen (Fig. 3).
Left mastectomy specimen.
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The mastectomy specimen (Fig. 4) was largely replaced by a pinkish lobulated and fleshy mass with foci of cystic change.
Focally pushing borders of the lesion H & E 40x.
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The features were of a cellular fibroepithelial lesion with predominantly a well circumscribed margin which only focally exhibited a pushing edge (Fig. 5).
Leaf like (phyllodial architecture) of the lesion; H & E 40x.
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The lesion comprised breast ducts separated by a mildly cellular stroma which exhibited a phyllodial architecture with slit like compressed ducts imparting a leaf like architecture (Fig. 6).