Abstract:
AIM:To determine if imaging features of lesions with a core biopsy suggestive of a phyllodes tumour can be used to identify which lesions require surgical excision with margins. MATERIALS AND METHODS:Thirty-one lesions were identified from a prospective database of ultrasound visible masses. Demographic, mammographic, and ultrasound features were assessed while blinded to surgical outcome. Features of those lesions requiring a margin and those that did not were compared. Statistical significance was established using the chi-square test and receiver operating characteristic (ROC) curves. RESULTS:Thirteen lesions (42%) required a margin and 18 lesions (58%) did not. Features found significantly more frequently in those requiring a margin were a poorly defined margin on mammography (7/9 [78%] versus 4/13 [31%]; p=0.04) and at ultrasound, an irregular margin (8/13 [62%] versus 3/18 [17%]; p=0.01), micro-lobulations (7/13 [54%] versus 3/18 [17%]; p=0.028), mixed echogenicity (9/13 [69%] versus 1/18 [6%]; p=0.0002), echogenic clefts (6/13 [46%] versus 1/18 [6%]; p=0.007), posterior enhancement (9/11 [82%] versus 6/18 [33%]; p=0.01), large size (p=0.003) and stiffness at shear-wave elastography (p=0.026). All six screen-detected lesions were benign. CONCLUSIONS:There are multiple preoperative features that can be used to guide surgical management of lesions with a preoperative core biopsy result suggestive of a phyllodes tumour.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Mberu V,Macaskill EJ,Purdie C,Evans Adoi
10.1016/j.crad.2019.11.006subject
Has Abstractpub_date
2020-04-01 00:00:00pages
319.e21-319.e27issue
4eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30651-8journal_volume
75pub_type
杂志文章abstract::Two cases of squamous-cell carcinoma arising in dental cysts are presented. A review of the literature reveals that this is a rare condition and experience of treatment by radiotherapy is limited. The cases reported were controlled locally by external beam megavoltage radiotherapy with no significant long-term morbidi...
journal_title:Clinical radiology
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doi:10.1016/s0009-9260(85)80309-3
更新日期:1985-07-01 00:00:00
abstract::The ultrasound appearances of primary liver tumour in three patients are described. Changes in these appearances following devascularisation of the tumour by transcatheter embolisation are demonstrated. A possible mechanism for the change in appearances is suggested and is discussed in the light of plain radiographic ...
journal_title:Clinical radiology
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更新日期:1980-11-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(05)80872-4
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doi:10.1016/s0009-9260(05)82884-3
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pub_type: 杂志文章
doi:10.1016/s0009-9260(99)90687-6
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(83)80386-9
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.1999.0199
更新日期:1999-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(88)80278-2
更新日期:1988-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0501
更新日期:2000-09-01 00:00:00
abstract:AIM:To test whether a high coronary artery score predicts that the subsequent post-mortem computed tomography (PMCT) with angiography (PMCTA) will diagnose significant coronary artery disease (CAD); to test the diagnostic impact of assuming there is significant CAD based on a high coronary artery calcium (CAC) score al...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2019.06.034
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journal_title:Clinical radiology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.crad.2007.09.010
更新日期:2008-03-01 00:00:00
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2015.05.002
更新日期:2015-09-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(98)80315-2
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(88)80056-4
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(77)80099-8
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abstract::Prostate cancer is the second most prevalent cancer in men worldwide and its incidence is expected to double by 2030. Multi-parametric magnetic resonance imaging (MRI) incorporating anatomical and functional imaging has now been validated as a means of detecting and characterising prostate tumours and can aid in risk ...
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journal_title:Clinical radiology
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abstract::Non-invasive CT coronary artery imaging has previously had little relevance to most UK radiologists due to the limited availability of electron beam CT scanners. Major advances in CT technology have promoted new applications for helical CT, which include cardiac imaging. Widespread installation of 'multislice' helical...
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abstract::The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in th...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
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更新日期:2009-07-01 00:00:00