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Interesting Mammogram #2

Case: 45 year old lady that presented with a painless, progressive breast lump on the left side of 7 months duration.

On examination: A10x10 cms firm, mobile lump involving the entire left breast was palpable. There were dilated veins overlying the lump with no palpable axillary lymphadenopathy.

Mammogram is shown below:

image

image

Mammogram was suggestive of an encapsulated lesion with smooth margins, probably a phyllodes tumor.

Tru-cut : Phyllodes tumor
HPE: Benign phyllodes

Learning objective: Benign encapsulated tumor on mammogram suggestive of phyllodes. Capsule is visualized as a radiolucent halo around the lump.

 

Information provided by:

Dr. Rohan Khandelwal

Consultant, Breast Oncosurgeon

W Pratiksha Hospital

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5 thoughts on “Interesting Mammogram #2

  1. The concept of capsule is misleading. Phylloides is not a capsulated lesion . A mammogram “halo effect is due a change in lminance in mammogaphy due t the differences of density and the sourrounding fat.
    In my opinion is a well delited lesion with smoth margins. I agree with the DD between Giant FA or Phylloides. Anyone of the lesions had capsule.

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