Journal of Korean Society of Medical Ultrasound 1994;13(2): 205-210.
Phylloedes tumor of breast: findings at mammography, sonography and color Doppler imaging
Hye Yong Choi, Kun Choon Park, Sei Hyun Ahn, Young Hwan Kim, Seung Yon Baek, Jeong Hyun Yoon
Departments of Diagnostic Radiology and General Surgery1, Asan Medical Center, College of Medicine, University of Ulsan Department of Diagnostic Radiology, College of Medicine, Ewha Womans University2
OBJECTIVE : The phylloides tumor of the breast is rare. the purposes of this study were to find thecharacteristic findings at mammography, sonography, and color Doppler imaging and to evaluate the usefulness ofcolor Doppler study as an additional modality in the diagnosis of phylloides tumor and differentiation betweenbenign and malignant varieties. SUBJECTIVES AND METHODS : Eight cases, who were pathologically proven as pylloidestumors, were retrospectively studied. The findings at histologic examination suggested benign in five, malignantin two, and borderline in one. We analized the mammograms of all eight patients and sonogram and color Dopplerimages of four patients. RESULTS : Phylloides tumors were seen as dense masses with lobulated margins inmammograms. On sonography, they showed relatively well-defined masses with inhomogenous internal echo pattern andcentral echogenic areas. They were characterized by the presence of arterial and venous flows in the center andperiphery of the lesion on color Doppler imaging and spectral analysis. CONCLUSION : We conclude thatmammographic, sonographic and even color Doppler findings are not predictive of benign or malignant nature of thephylloides tumor. However, mammography and sonography with color Doppler interrogation are helpful in thediagnosis of phylloides tumor.
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