CTICasesMalignant Phyllodes Tumor of the Chest Wall
Imaging findings
CT chest shows a massive, lobulated chest wall tumor. The mass is highly vascular with rapid, avid peripheral enhancement and massive internal areas of central necrosis.
Key takeaways
Phyllodes tumors are rare fibroepithelial breast neoplasms that can occasionally arise from ectopic breast tissue in the chest wall or axilla. Malignant phyllodes tumors can grow extremely rapidly, exhibit marked hypervascularity, and reach a massive size, requiring wide local excision with negative margins.
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