Spontaneous Infarction of Phyllodes Tumor of the Breast in a Postpartum Woman: A Case Report

Cha, Yoogi; Kim, Hye-Won; Kim, Hun Soo; Won, Tae Wan

doi:10.3348/jksr.2017.77.5.327

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…Among those explained, margins were irregular in two malignant and one borderline PT, and regular in 10 others. Vascularity as assessed by Doppler ultrasonographic scan was detected in seven cases, namely in three benign 26,27,31 and four malignant 4,43,45,49 cases.…”

Section: Data Extraction Resultsmentioning

confidence: 99%

Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

et al. 2020

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Background: Phyllodes tumor (PT) is a rare tumor of the breast, which may occur during pregnancy or lactation. Several studies have reviewed and discussed PT occurring in pregnancy, gathering up to 14 patients. We performed a thorough systematic review of the literature in an attempt to find all reported cases, and identify their common characteristics. Methods: We searched Google scholar, PubMed, Ovid Medline, Scopus and ClinicalTrials.gov with several relevant combinations of keywords, looking for texts or abstracts without any date or language limitations, but using only English keywords. The existing literature only consisted of case reports and series; therefore any paper including one or several cases of PT presenting during pregnancy or breastfeeding was recognized as eligible. Articles with vague description of the tumor which made the diagnosis uncertain, and those lacking data about the tumor and management data were excluded. We contacted authors for more details in cases with incomplete information. Results: After excluding those with very deficient data, we included 37 studies, counting 43 cases. The mean age of the patients was 31 years (21-43 years). Some features were different from usual PT: bilaterality (16.2%), large size (14.2 ± 8.6 cm), rapid enlargement (79.5%), and rate of malignancy (60.5%). Conclusion: Our findings show high rates of bilaterality, large size, rapid growth, and malignant pathology in the reported gestational PTs.

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Section: Data Extraction Resultsmentioning

confidence: 99%

Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

et al. 2020

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“…Pregnancy-related changes in breast are caused due to elevated estrogen levels which causes morphological alterations in preexisting benign breast lesions like fibroadenomas such as infarction and florid lactational changes. 3 8 However, a low threshold of suspicion should be kept for performing HPE to avoid delay in diagnosis of a pregnancy-associated breast cancers due to their varied imaging features.…”

Section: Discussionmentioning

confidence: 99%

When Friend Becomes Foe: Complications of Fibroadenoma Imaging Spectrum

Kar,

Arora

2023

Indographics

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Fibroadenoma are the most common benign breast lesions. Complications in fibroadenoma although rare in occurrence, are reported. It is important to be aware of the possible complications, both benign and malignant which may require surgical management. Commonly encountered benign complications in a fibroadenoma are infarction, rapid increase in size, and lactational changes. A common differential of a giant fibroadenoma is phyllodes tumor which has subtle imaging differences. Malignant transformation of a fibroadenoma is very rare although cases are reported (0.02%). Breast is a dynamic organ and is influenced by the hormone surges occurring typically during pregnancy and lactation, it causes changes in morphology of prior existing fibroadenoma which may mimic like a malignancy and hence knowledge of these benign complications in a fibroadenoma is also important. To identify the subtle radiologic imaging features which may suggest complication developing in a known fibroadenoma, prompting for a histopathological examination correlation. In this article, we discuss the imaging features of complications in a fibroadenoma—benign and malignant. Sinister etiology secondarily engulfing a fibroadenoma and sinister focus developing in a fibroadenoma will be discussed. Also, the benign complications in a fibroadenoma like lactational changes, spontaneous infarction within a fibroadenoma, and excessive increase in the size of fibroadenoma with degenerative changes due to the estrogen and progesterone effect which can mimic like a malignancy will be illustrated. A careful history, meticulous scanning, close monitoring, and histopathological correlation is invaluable to identify these complications in a known fibroadenoma and thus guide in the appropriate management of these lesions.

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Phyllodes Tumor of the Breast in Pregnancy and Lactation

Alipour

Eskandari

2020

Advances in Experimental Medicine and Biology

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Spontaneous Infarction of Phyllodes Tumor of the Breast in a Postpartum Woman: A Case Report

Cited by 4 publications

References 9 publications

Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

Phyllodes Tumor of the Breast during Pregnancy and Lactation; A Systematic Review

When Friend Becomes Foe: Complications of Fibroadenoma Imaging Spectrum

Phyllodes Tumor of the Breast in Pregnancy and Lactation

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