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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

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Giant malignant phyllodes tumor: A case report.

Daniela Kerguelen Murcia¹, Andrea Tenreiro², Jennifer A Kohlnhofer²

¹John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Radiology Case Reports

|June 6, 2025

Summary

This summary is machine-generated.

Phyllodes tumors are rare, fast-growing breast masses. This case highlights a giant malignant phyllodes tumor, emphasizing the need for accurate diagnosis and management of this uncommon condition.

Keywords:

Breast imaging Breast mass Phyllodes tumor Radiology

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Area of Science:

Oncology
Pathology
Radiology

Background:

Phyllodes tumors are rare fibroepithelial breast neoplasms.
They are distinguished from fibroadenomas by their rapid growth rate.

Observation:

This report details a giant malignant phyllodes tumor in a 53-year-old female.
The tumor presented as a rapidly enlarging, multinodular breast mass.

Findings:

Ultrasound revealed a hypoechoic solid mass with cystic components.
Mammography showed a hyperdense lesion.
Histological examination confirmed leaf-like architecture and high stromal cellularity, indicative of malignancy.

Implications:

Early and accurate diagnosis of phyllodes tumors is crucial.
Malignant phyllodes tumors require prompt surgical management, such as mastectomy.
Understanding radiologic and histologic features aids in differentiating phyllodes tumors from benign breast lesions.