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Differentiation of Phyllodes Breast Tumors from Fibroadenomas on MRI

Susanne Wurdinger1, Aimée B. Herzog1, Dorothee R. Fischer1, Christiane Marx1, Gerd Raabe2, Achim Schneider3,4 and Werner A. Kaiser1

1 Department of Mammography, Institute of Diagnostic and Interventional Radiology, Friedrich Schiller University, Bachstrasse 18, Jena D-07740, Germany.
2 Institute of Pathology, Friedrich Schiller University, Ziegelmühlenweg, Jena, Germany.
3 Department of Gynaecology, Friedrich Schiller University, Jena, Germany.
4 Present address: Department of Gynaecology, Charité Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.



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  		Fig. 1A —44-year-old woman with palpable tumor of right breast. Breast MRI reveals cystosarcoma phyllodes of low malignancy. Dynamic T1-weighted images before (A) and 1 (B), 2 (C), and 7 (D) min after contrast administration show rapid enhancement with wash-out phenomenon in late phase. Bright area in T1-weighted image (A) and dark area in T2-weighted image (E) in lateral part of tumor near chest wall show hemorrhage. T2-weighted image (E) shows tumor of high signal intensity and internal cysts. Perifocal edema is visible in lateral bright adjacent breast tissue.

 


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  		Fig. 1B —44-year-old woman with palpable tumor of right breast. Breast MRI reveals cystosarcoma phyllodes of low malignancy. Dynamic T1-weighted images before (A) and 1 (B), 2 (C), and 7 (D) min after contrast administration show rapid enhancement with wash-out phenomenon in late phase. Bright area in T1-weighted image (A) and dark area in T2-weighted image (E) in lateral part of tumor near chest wall show hemorrhage. T2-weighted image (E) shows tumor of high signal intensity and internal cysts. Perifocal edema is visible in lateral bright adjacent breast tissue.

 


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  		Fig. 1C —44-year-old woman with palpable tumor of right breast. Breast MRI reveals cystosarcoma phyllodes of low malignancy. Dynamic T1-weighted images before (A) and 1 (B), 2 (C), and 7 (D) min after contrast administration show rapid enhancement with wash-out phenomenon in late phase. Bright area in T1-weighted image (A) and dark area in T2-weighted image (E) in lateral part of tumor near chest wall show hemorrhage. T2-weighted image (E) shows tumor of high signal intensity and internal cysts. Perifocal edema is visible in lateral bright adjacent breast tissue.

 


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  		Fig. 1D —44-year-old woman with palpable tumor of right breast. Breast MRI reveals cystosarcoma phyllodes of low malignancy. Dynamic T1-weighted images before (A) and 1 (B), 2 (C), and 7 (D) min after contrast administration show rapid enhancement with wash-out phenomenon in late phase. Bright area in T1-weighted image (A) and dark area in T2-weighted image (E) in lateral part of tumor near chest wall show hemorrhage. T2-weighted image (E) shows tumor of high signal intensity and internal cysts. Perifocal edema is visible in lateral bright adjacent breast tissue.

 


View larger version (146K):

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  		Fig. 1E —44-year-old woman with palpable tumor of right breast. Breast MRI reveals cystosarcoma phyllodes of low malignancy. Dynamic T1-weighted images before (A) and 1 (B), 2 (C), and 7 (D) min after contrast administration show rapid enhancement with washout phenomenon in late phase. Bright area in T1-weighted image (A) and dark area in T2-weighted image (E) in lateral part of tumor near chest wall show hemorrhage. T2-weighted image (E) shows tumor of high signal intensity and internal cysts. Perifocal edema is visible in lateral bright adjacent breast tissue.

 

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