Abstract Archives of the RSNA, 2014
BRE236
Tumor Phylloides: The Great Ghost
Education Exhibits
Presented in 2014
Maria Florencia Andraca, Presenter: Nothing to Disclose
Erika Magdalena Meisen MD, Abstract Co-Author: Nothing to Disclose
Laura Soledad Muscillo MD, Abstract Co-Author: Nothing to Disclose
Maria Emilia Diaz, Abstract Co-Author: Nothing to Disclose
Florencia Pia Sojo, Abstract Co-Author: Nothing to Disclose
Eduardo Pablo Eyheremendy MD, Abstract Co-Author: Nothing to Disclose
The purpose of this exhibit is:
1-Describe the clinical and imaging characteristics of tumors phylloides, emphasizing those that allow differentiation of fibroadenoma, the main differential diagnosis.
2-Correlate these findings with histopathological diagnosis.
The major teaching points of this exhibit are:
1 - Solid nodules with benign clinical features, which usually appear in women aged 40-50 years, with rapid growth.
2 - On mammograms, appear as a well-defined lesion, round, oval or lobulated, circumscribed and with soft tissue density.
3 - Ultrasonography may be heterogeneous with anechoic areas inside.
4 - They can show positive doppler flow in color doppler study.
The phylloides tumors represent a heterogeneous group of biphasic neoplasms composed of stromal and epithelial components, which may be benign, borderline or malignant. They are unusual tumors constituting from 0.3 to 0.9% of all mammary tumors. The average age of onset is around 40 -50 years old.
There are ultrasound signs that force us to think about this entity, both in 2D and color doppler study, which correlate with histopathological findings.
Definitive diagnosis is histopathological, and full resection with free margins is the main treatment of these lesions.
http://abstract.rsna.org/uploads/2014/14007473/14007473_wdmi.pdf
Andraca, M,
Meisen, E,
Muscillo, L,
Diaz, M,
Sojo, F,
Eyheremendy, E,
Tumor Phylloides: The Great Ghost. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14007473.html