Sonographic Features of Borderline Phyllodes Tumor of the Breast: A Case Report

doi:10.37015/AUDT.2021.210006

Abstract

Abstract:

Phyllodes tumors of the breast are rare fibroepithelial neoplasm which are generally divided into benign, borderline, or malignant. In this case study, we reported a 40-year-old female presented with an asymptomatic right breast mass underwent sonographic evaluation. The surgical histopathology was diagnosed as borderline phyllodes tumor. Sonographic features of the tumor are described in detail, and the relevant literatures are reviewed and discussed.

Key words: Phyllodes tumor; Breast; Sonography

Yaqin Sun, MD, Shumin Wang, MD, PhD, Zhanfei Zhe, MD, Xin Qi, MD, Li Li, MD, Qin Liu, MD. Sonographic Features of Borderline Phyllodes Tumor of the Breast: A Case Report. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(3): 262-264.

References

[1]	Palmer ML, De Risi DC, Pelikan A, Patel J, Nemoto T, Rosner D, et al. Treatment options and recurrence potential for cystosarcoma phyllodes. Surg Gynecol Obstet 1990; 170:193-196.
[2]	Rowell MD, Perry RR, Hsiu JG, Barranco SC. Phyllodes tumors. Am J Surg 1993; 165:376-379.
[3]	Liberman L, Bonaccio E, Hamele-Bena D, Abramson AF, Cohen MA, Dershaw DD. Benign and malignant phyllodes tumors: mammographic and sonographic findings. Radiology 1996; 198:121-124.
[4]	Lakhani S R. WHO Classification of Tumours of the Breast. International Agency for Research on Cancer, 2012.
[5]	Tan PH, Jayabaskar T, Chuah KL, Lee HY, Tan Y, Hilmy M, et al. Phyllodes tumors of the breast: the role of pathologic parameters. Am J Clin Pathol 2005; 123:529-540.
[6]	Böcker W. WHO-Klassifikation der Tumoren der Mamma und des weiblichenGenitale: Pathologie und Genetik. WHO classification of breast tumors and tumors of the female genital organs: pathology and genetics. Verh Dtsch Ges Pathol. 2002; 86:116-9.
[7]	Eroglu E, Irkkan C, Ozsoy M, Eroglu F. Phyllodes tumor of the breast: case series of 40 patients. Eur J Gynaecol Oncol 2004; 25:123-125.
[8]	Belkacémi Y, Bousquet G, Marsiglia H, Ray-Coquard I, Magné N, Malard Y, et al. Phyllodes tumor of the breast. Int J Radiat Oncol Biol Phys 2008; 70:492-500.
[9]	Strode M, Khoury T, Mangieri C, Takabe K. Update on the diagnosis and management of malignant phyllodes tumors of the breast. Breast 2017; 33:91-96.
[10]	Lee S, Nodit L. Phyllodes tumor of vulva: a brief diagnostic review. Arch Pathol Lab Med 2014; 138(11):1546-1550.
[11]	Reinfuss M, Mituś J, Duda K, Stelmach A, Ryś J, Smolak K. The treatment and prognosis of patients with phyllodes tumor of the breast: an analysis of 170 cases. Cancer 1996; 77:910-916.
[12]	Duman L, Gezer NS, Balcı P, Altay C, Başara I, Durak MG, et al. Differentiation between phyllodes tumors and fibroadenomas based on mammographic sonographic and MRI features. Breast Care (Basel) 2016; 11:123-127.
[13]	Kalambo M, Adrada BE, Adeyefa MM, Krishnamurthy S, Hess K, Carkaci S, et al. Phyllodes tumor of the breast: ultrasound-pathology correlation. AJR Am J Roentgenol 2018; 210:W173-W179.
[14]	Harper AP, Kelly-Fry E, Noe JS, Bies JR, Jackson VP. Ultrasound in the evaluation of solid breast masses. Radiology 1983; 146:731-736.
[15]	Skaane P, Engedal K. Analysis of sonographic features in the differentiation of fibroadenoma and invasive ductal carcinoma. AJR Am J Roentgenol 1998; 170:109-114.
[16]	Chao TC, Lo YF, Chen SC. Chen MF. Prospective sonographic study of 3093 breast tumors. J Ultrasound Med 1999; 18:363-372.
[17]	Yilmaz E, Sal S, Lebe B. Differentiation of phyllodes tumors versus fibroadenomas. Acta Radiol 2002; 43:34-39.
[18]	Bode MK, Rissanen T, Apaja-Sarkkinen M. Ultrasonography and core needle biopsy in the differential diagnosis of fibroadenoma and tumor phyllodes. Acta Radiol 2007; 48:708-713.
[19]	Chao TC, Lo YF, Chen SC, Chen MF. Sonographic features of phyllodes tumors of the breast. Ultrasound Obstet Gynecol 2002; 20:64-71.