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Correspondence
Benign phyllodes tumour with intraductal papillary growth of the breast in a young woman
  1. Rin Yamaguchi1,
  2. Maki Tanaka2,
  3. Miki Yamaguchi2,
  4. Emi Takazaki2,
  5. Makoto Isobe2,
  6. Hiroshi Terasaki3,
  7. Yoshitake Hirai4,
  8. Hirohisa Yano1
  1. 1Department of Pathology, Kurume University School of Medicine, Kurume, Japan
  2. 2Departments of Surgery, Social Insurance Kurume Daiichi Hospital, Kurume, Japan
  3. 3Department of Radiology, Social Insurance Kurume Daiichi Hospital, Kurume, Japan
  4. 4Department of Laboratory Medicine, Social Insurance Kurume Daiichi Hospital, Kurume, Japan
  1. Correspondence to Dr Rin Yamaguchi, Department of Pathology, Kurume University School of Medicine, 67 Asahi-machi, Kurume-shi 830-0011, Japan; rin{at}med.kurume-u.ac.jp

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A 24-year-old woman noted a mass in her left breast and visited a local hospital. The mass was ∼2.5 cm in size upon imaging and considered to be a benign tumour, so she was monitored. Six months later, the mass enlarged to >3 cm, showed redness in the skin and was painful. She took antibiotics for 1 week, and symptoms improved. She was referred to the Social Insurance Kurume Daiichi Hospital (Kurume, Japan). Ultrasonography revealed an intracystic tumour measuring ∼3.3×3.3×3.5 cm consisting of a solid papillary structure in a cystic lesion and with an inhomogeneous interior (figure 1). Dynamic MRI revealed an irregular-shaped solid portion, with enhancement within the tumour and haemorrhagic fluid in the lumen: malignancy was suspected. Local excisional biopsy was undertaken for diagnostic purposes and at the request of the patient. …

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