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(A,B) Mammography. A mass, involving all four quadrants with microcalcifications in the centre (arrow), is seen in the right breast.
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The mammography showed a dense mass (90 x 90 mm) with polilobate contours, involving all four quadrants of the right breast, with few calcifications in the centre. (Fig. 1A-B).
The mass, mixed fluid and solid, showed great peripheral vascularity and penetrating vessels at color Doppler (arrow).
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The sonography showed a disomogeneous and mixed mass, partially solid with fluid areas in the centre and great peripheral vascularity vessels detected at color Doppler (Fig. 2).
(A) Breast MRI. T2-weighted image showed a disomogeneous solid mass with central fluid areas. (B) Post-contrast dynamic image revealed an intense peripherical CE (arrow), the central area did not show CE.
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The breast-MRI revealed an almost completed, capsulated, solid and disomogeneous mass with central fluid component and peripheral contrast enhancement (CE); the internal part of the mass did not show CE due to condroid and necrotic areas (Fig. 3A-B).
(A) E&H 40x. Neoplastic condroid cells with atypical nuclei and simil-mixoid matrix. (B) E&H 10x. The tumour showed a central necrotic area; while the condroid area is associated with hypercellularity mixed with spotty haemorragic areas.
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(A,B) Abdominal and cranial i.v. contrast enhanced CT examination showed no evidence of distant metastasis.
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