Dr.SayedHalim Mashal

01/05/2025

Arterio-venous malformation(AVM) of brain!

27/09/2024

❗️Scroll through all the images in this case on our website - just plug the rID number into the website search box to get to the full case

🎯 Clinical history: Left breast has been significantly enlarged for the past year, has become painful during the past few weeks.

🎯 US: Huge mass in left breast, demonstrating mixed echogenicity with cystic components. Internal flow not as elevated as with acute inflammation.

🎯 Phyllodes tumour was suspected. Underwent incision and drainage of necrotic material from the tumour. Material sent for pathology: Fragments of malignant phyllodes tumour, high grade.

🎯 CT: Mass measuring 15 cm fills and expands the left breast. The mass shows extensive areas of necrosis and a small cluster of calcific foci (the latter are most probably calcifications seen on CT abdomen 2 years prior engulfed by the tumour). The mass cannot be visually separated from the left pectoralis muscles. Two adjacent tiny intratumoural air bubbles - most probably iatrogenic. Subcutaneous fat stranding in the chest wall posterior and inferior to the mass.

🎯 Phyllodes tumour, also known as cystosarcoma phyllodes, is a rare fibroepithelial tumour of the breast which has some resemblance to a fibroadenoma. It is typically a large, fast growing mass that forms from the periductal stroma of the breast. Malignant degeneration is seen in 5-25%.

👤 Case courtesy of Yaïr Glick, https://radiopaedia.org/cases/187850

23/06/2024