title: Phyllodes tumor: diagnostic imaging and histopathology findings.
abstract: Phyllodes tumors are rare breast tumors, accounting for less than 1% of all primary tumors of the breast. Histologically, phyllodes tumors can be divided into benign (60%), borderline (20%) and malignant (20%). The mammography examination was performed by means of a digital mammography system Giotto 3D Images; the ultrasound examination was performed through a GE Logiq P6 device and histological confirmation was possible after surgery or following the histological biopsy. We grouped the nine patients who presented clinically palpable nodules into two groups, namely: the six patients presenting histological benign results into Group I, and Group II where we included those with borderline and malignant histological results. Mammography performed in 77.7% revealed a well-circumscribed round or oval opacity or with contour lobules. Ultrasound examination was performed in all patients. Mammography and ultrasound have limitation in differentiating between benign lesion and phyllodes tumor. In the nine analyzed cases, mammographic and ultrasound examinations did not allow the differentiation into the three groups of phyllodes tumor. Histopathological examination is considered the golden standard for their diagnosis. Correlations between mammographic and microscopic aspects were inconclusive for determining the degree of differentiation, ultrasound changes could be correlated with the histopathological aspects.
authors.affiliation: Department of Neurosciences, Department of Dentistry, Faculty of Medicine and Pharmacy, University of Oradea, Romania; lucidaina@gmail.com, pirte_adriana@yahoo.com.
authors.forename: Alina Cristiana
authors.initials: AC
authors.lastname: Venter
authors.forename: Elena
authors.initials: E
authors.lastname: Roşca
authors.forename: Lucia Georgeta
authors.initials: LG
authors.lastname: Daina
authors.forename: Gabriela
authors.initials: G
authors.lastname: Muţiu
authors.forename: Adriana Nicoleta
authors.initials: AN
authors.lastname: Pirte
authors.forename: Daniela
authors.initials: D
authors.lastname: Rahotă
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D003952:Diagnostic Imaging; D004847:Epithelial Cells / Q000473:pathology; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008875:Middle Aged; D003557:Phyllodes Tumor / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D016217:Ultrasonography, Mammary; D055815:Young Adult