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Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: Case series on phyllodes tumour of breast in young females: Unusual clinico-radiological presentations in unusual age group—Thinking beyond fibroadenomas!

Fig. 1

(case 1) a Left breast ultrasound image shows a heterogeneously hyperechoic lobulated mass lesion with anechoic linear clefts and cystic spaces within (yellow long arrow). b Sagittal T2W MR image of the left breast shows a large well circumscribed heterogeneous signal intensity mass lesion occupying the entire breast with multiple linear T2 hyperintense fluid signal clefts and cystic spaces (yellow short arrow). Multiple hypointense peripheral flow voids are also seen (red arrows). c Axial DCE MR image of both breasts shows heterogeneous intense enhancement of the left breast mass lesion with non-enhancing clefts and cystic spaces. Normal dense glandular enhancing right breast parenchyma is seen. d DCE type I kinetic curve is seen. e DWI image shows areas of focal hyperintensity (green arrow). f Corresponding ADC map shows focal moderate hypointensity (restricted diffusion). gi H & E × 10, shows stromal overgrowth and hypercellularity with mild pleomorphism (g). IHC shows cytoplasmic BCL2 positivity in stromal cells (h). IHC shows CD34 positivity in stromal cells (i)

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