PMC4906120_01
A 55 mm hypoechoic bilobulated lesion with thick margin.
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Breast ultrasound described the previously known fibroadenoma and a hypoechoic bilobulated lesion with thick margins (Fig. 1) and the result of the citology we obtained by fine needle aspiration was connective-adipose tissue.
MRI.
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The MRI showed a large size polinodular image, without signs of necrosis or haemorrhage, suggesting a possible Phyllodes tumor (Fig. 2).
Reconstruction.
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As a consequence of these results, we made a staging study on the disease extent by a thoracic and abdominal scanner without signs of disease spread, so we proceeded to surgical treatment with a mastectomy of the left breast and posterior reconstruction with prosthesis (Fig. 3).
Recurrence.
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After two and a half years of close monitoring, she came again to our hospital because of a tough nodule over the mastectomy scar and the breast ultrasound revealed a heterogeneous epidermic nodule of 19 mm (Fig. 4).