case_images: PMC6180860_01
case_images: PMC6180860_02
case_images: Malignant giant phyllodes tumour of the left breast in a 23-year-old female patient.
case_images: bjrcr.20150357.g001.jpg
case_images: PMC6180860_02_bjrcr.20150357.g001.jpg
case_images: fig1
case_images: A 23-year-old female patient presented to the oncosurgery department with complaints of a large left breast mass for 3 years (Figure 1).
case_images: (a) Chest radiograph showing a large multilobulated soft tissue density lesion involving the left breast with normal bilateral lung fields and bony thoracic cage. (b) Ultrasound of the left breast revealing a circumscribed multilobulated solid heteroechoic lesion with internal vascularity on (c) colour Doppler. AI, average intensity; AT, average time; EDV, end-diastolic velocity; MDV, mean diastolic velocity; PI, pulsatility index; PSV, peak systolic velocity; PW, pulsed wave; RI, resistive index; SV, stroke volume; TAPV, time-averaged peak velocity.
case_images: bjrcr.20150357.g002.jpg
case_images: PMC6180860_02_bjrcr.20150357.g002.jpg
case_images: fig2
case_images: Initial chest radiograph (Figure 2a) showed a multilobulated soft tissue density lesion involving the left breast. On ultrasound (Figure 2b), the lesion appeared as a circumscribed, multilobulated, heteroechoic solid lesion, with internal vascularity on colour Doppler (Figure 2c).
case_images: Post-contrast CT scan of the chest. (a) Axial and (b) reformatted coronal images showing a heterogeneously enhancing left breast mass with central necrosis. The lesion showed erosion of the sternum with retrosternal extension to involve and invade the pericardium.
case_images: bjrcr.20150357.g003.jpg
case_images: PMC6180860_02_bjrcr.20150357.g003.jpg
case_images: fig3
case_images: Post-contrast CT scan of the chest (Figures 3 and 4) revealed a heterogeneously enhancing aggressive lesion measuring 21 x 15 x 13 cm with central areas of necrosis, with evidence of sternal erosion and invasion of the pericardium.
case_images: CT scan (a) axial and (b) reformatted sagittal bone window images showing erosion of the sternum.
case_images: bjrcr.20150357.g004.jpg
case_images: PMC6180860_02_bjrcr.20150357.g004.jpg
case_images: fig4
case_images: Post-contrast CT scan of the chest (Figures 3 and 4) revealed a heterogeneously enhancing aggressive lesion measuring 21 x 15 x 13 cm with central areas of necrosis, with evidence of sternal erosion and invasion of the pericardium.