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Benign Phyllodes Tumor of the Breast: MR Imaging Features Case Report

Dione M. Farria, Sanford H. Barsky, Shantanu Sinha, Lawrence W. Bassett

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Abstract

T he phyllodes tumor, first described by Muller [ 11 in 1838, is a fibroepithelial neoplasm that histologically resembles a fibroadenoma. However, unlike fibroadenomas, phyllodes tumors have a high incidence of local recurrence after surgery and a potential for hematogenous metastases [2]. Phyllodes tumors cannot be distinguished from other benign or malignant tumors on the basis of mammographic or sonographic features; the diagnosis can be made only by histologic criteria. We evaluated the MR imaging features of four benign phyllodes tumors. One of the four cases is discussed in this article.

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What this paper is about

T he phyllodes tumor, first described by Muller [ 11 in 1838, is a fibroepithelial neoplasm that histologically resembles a fibroadenoma. However, unlike fibroadenomas, phyllodes tumors have a high incidence of local recurrence after surgery and a potential for hematogenous metastases [2]. Phyllodes tumors cannot be distinguished from other benign or malignant tumors on the basis of mammographic or sonographic features; the diagnosis can be made only by histologic criteria. We evaluated the MR imaging features of four benign phyllodes tumors. One of the four cases is discussed in this article.

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Available abstract

T he phyllodes tumor, first described by Muller [ 11 in 1838, is a fibroepithelial neoplasm that histologically resembles a fibroadenoma. However, unlike fibroadenomas, phyllodes tumors have a high incidence of local recurrence after surgery and a potential for hematogenous metastases [2]. Phyllodes tumors cannot be distinguished from other benign or malignant tumors on the basis of mammographic or sonographic features; the diagnosis can be made only by histologic criteria. We evaluated the MR imaging features of four benign phyllodes tumors. One of the four cases is discussed in this article.

Key concepts: Phyllodes tumor, Fibroadenoma, Medicine, Incidence (geometry), Radiology, Mammography, Pathology, Breast cancer

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