PMC6180860_01
PMC6180860_02
Malignant giant phyllodes tumour of the left breast in a 23-year-old female patient.
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fig1
A 23-year-old female patient presented to the oncosurgery department with complaints of a large left breast mass for 3 years (Figure 1).
(a) Chest radiograph showing a large multilobulated soft tissue density lesion involving the left breast with normal bilateral lung fields and bony thoracic cage. (b) Ultrasound of the left breast revealing a circumscribed multilobulated solid heteroechoic lesion with internal vascularity on (c) colour Doppler. AI, average intensity; AT, average time; EDV, end-diastolic velocity; MDV, mean diastolic velocity; PI, pulsatility index; PSV, peak systolic velocity; PW, pulsed wave; RI, resistive index; SV, stroke volume; TAPV, time-averaged peak velocity.
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fig2
Initial chest radiograph (Figure 2a) showed a multilobulated soft tissue density lesion involving the left breast. On ultrasound (Figure 2b), the lesion appeared as a circumscribed, multilobulated, heteroechoic solid lesion, with internal vascularity on colour Doppler (Figure 2c).
Post-contrast CT scan of the chest. (a) Axial and (b) reformatted coronal images showing a heterogeneously enhancing left breast mass with central necrosis. The lesion showed erosion of the sternum with retrosternal extension to involve and invade the pericardium.
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fig3
Post-contrast CT scan of the chest (Figures 3 and 4) revealed a heterogeneously enhancing aggressive lesion measuring 21 x 15 x 13 cm with central areas of necrosis, with evidence of sternal erosion and invasion of the pericardium.
CT scan (a) axial and (b) reformatted sagittal bone window images showing erosion of the sternum.
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fig4
Post-contrast CT scan of the chest (Figures 3 and 4) revealed a heterogeneously enhancing aggressive lesion measuring 21 x 15 x 13 cm with central areas of necrosis, with evidence of sternal erosion and invasion of the pericardium.