Multi-Parametric MR Imaging in Characterisation of Benign and Malignant PhyllodesTumours
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2019, Vol 8, Issue 2
Abstract
ABSTRACT Introduction: Phyllodes tumours are rare tumours of the breast.They present as painless nodules with rapid growth. Mammography and Ultrasound breast cannot provide adequate evaluation when the size of the phyllodes tumours are very large. MRI is very useful and excellent modality for evaluation of size, extent, pectoralis muscle and chest wall involvement. It is very helpful to differentiate the benign and malignant phyllodes tumour. Aim: To characterize the phyllodes tumour on MR imaging and to evaluate the MRI findings in differentiating benign and malignant phyllodes. Materials and Methods: A retrospective descriptive study was conducted on histologically proven phyllodes tumour of the breast in which 23 patients were included. Multi-parametric MRI of breast was performed on 1.5 Tesla Siemen’s Avanto machine using dedicated breast coil. Pre contrast, post contrast dynamic MRI and DWI sequences were obtained. Post processing and kinetic curve analysis was done using mean curve technique. Histo-pathological reports were accepted as standard of reference. Results: Out of 23 phyllodes tumour, five were malignant (21.7%), 18 (78.2%) were benign phyllodes tumour. Multiple septations were seen in the 18 lesions (78.26%). Cystic areas are seen in the 15 lesions (65.21%).On post-contrast study, these lesions showed heterogeneous enhancement. An eleven (47.82) lesions showed type I kinetic curve, seven (30.43%) showed type II curve and five (21.73%) lesions showed type III kinetic curve. Three malignant and one benign lesion showed restriction on DWI with corresponding low ADC values. MR spectroscopy was done in five patients and in two malignant patients it showed choline peak, three benign lesions did not show choline peak on spectroscopy. Conclusion: MRI is an excellent non-invasive modality for the characterization and evaluation of the phyllodes tumour as they are very large many times and could not properly evaluate on mammography and USG breast.
Authors and Affiliations
Pratiksha Yadav, Vilas M Kulkarni, Surbhi Chauhan
Keywords
Related Articles
- EP ID EP609755
- DOI 10.7860/IJARS/2019/39859:2464
- Views 129
- Downloads 0
Prevalence of Down’s Syndrome in Patients of Congenital Heart Disease Vidarbha Region Central India
Introduction: Down’s syndrome is a genetic state in which a person has 47 chromosomes instead of 46, with an additional copy of chromosome number 21. This additional genetic material disorders the normal growth process l...
The Role of Magnetic Resonance Imaging in the Evaluation of Trigeminal Neuralgia
ABSTRACT Introducation: Trigeminal neuralgia is characterized by electric shock-like pain, abrupt in onset and brief, in the distribution of one or more divisions of the trigeminal nerve. Trigeminal neuralgia can occur d...
Splenic Artery Aneurysms: Review of Pathogenesis, Diagnosis and Treatment and Presentation of Open Repaired Case
ABSTRACT Splenic Artery Aneurysm (SAA) is the most common visceral artery aneurysm (60%). It remains asymptomatic in over 95% of patients. SAA occurs predominantly in women of child-bearing age. Multi-slice SC angiograph...
Spectrum of Radiological Findings in Leptospirosis on Chest Radiograph and Ultrasonography-Study during Epidemics in South Gujarat Region of India
Introduction: Leptospirosis is an acute generalised infectious disease caused by any of the group of spirochetes of the genus Leptospira. The disease can involve many organs mainly liver, central nervous system, kidneys,...
Anatomical Variations of Intrahepatic Bile Ducts on MRCP in Himachal Pradesh, North India
ABSTRACT Introduction: Assessment of branching pattern of intrahepatic bile duct seems to be important before performing surgeries related to liver and biliary tract. Aim: To determine the normal anatomical variations in...