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- Can be benign or malignant
- Arises from periductal stroma
- The papillary growth pattern is the origin of the name ‘Phyllodes’ (leaf-like in Greek)
- Large rapidly growing without calcifications. Calcifications when present (rare) are large and chunky
- Difficult do distinguish from a highly cellular fibroadenoma
- The clefts in the papillary growth appear as cystic spaces on imaging
- Cellular lesion is iso intense on T2 and rapidly enhances post contrast
- A pre-existing fibroadenoma that rapidly enlarges (>20% increase in diameter during 6 months) should raise suspicion of Phyllodes
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