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Type:
Educational Exhibit
Keywords:
Neoplasia, Diagnostic procedure, Ultrasound, Mammography, Breast
Authors:
A. F. I. Moustafa1, O. M. M. Shetat1, H. Fadl2; 1Cairo/EG, 2London/UK
DOI:
10.1594/ecr2015/C-0382
Background
It is a tragic fact that in developing countries,
many patients present late with giant breast masses.
Giant breast masses are those larger than 5 cm across.
A wide variety of breast conditions such as lipoma,
hamartoma,
cyst,
fibroadenoma,
phyllodes tumour,
haematoma,
abscess and carcinoma can result in solitary or multiple giant masses.
Giant well circumscribed breast masses include:-
1.Giant fibroadenoma.
2.Phyllodes tumour.
3.Malignat masses as medullary carcinoma & primary lymphoma.1
Table 1: Demographics and imaging findings suggestive of diagnosis of giant fibroadenoma and phyllodes tumor
|
Giant fibroadenoma
|
Phyllodes tumor
|
Age
|
Younger age
|
35-55 years
|
Malignant risk
|
No
|
Benign-borderline-Malignant
|
Course
|
May regress
|
Progressive (rapid)
|
Local recurrence
|
No
|
High (20%)
|
Management
|
Simple excision
|
Wide local excision or mastectomy
|
Mammography
|
Density
|
Circumscribed low or intermediate density
|
Circumscribed higher density
|
Calcifications
|
More common
|
Less common
|
Sonography
|
Echogenicity
|
Homogenous
|
well-defined masses with low-level uniform or scattered internal echoes
|
Cystic areas
|
uncommon
|
Fluid-filled,
elongated spaces or clefts within
|
Posterior acoustic enhancement
|
uncommon
|
More common
|
2,3