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Erschienen in: European Surgery 1/2013

01.02.2013 | Case Report

Myoid hamartoma of the breast: case report

verfasst von: S. Monib, B. Amr, J. T. C. Lee, S. P. Raymound

Erschienen in: European Surgery | Ausgabe 1/2013

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Summary

Background

In 1972, Arrigoni termed hamartoma of the breast as all swellings that are grossly circumscribed, encapsulated masses, composed of mammary ducts and prominent lobules admixed with varying amounts of fibrous and adipose tissue often misdiagnosed as fibroadenomas or mammary dysplasias, a protocol needs to be established with regard to the mammographic and pathological details that confirm the existence of these lesions as a distinct entity. Pathognomonic radiological findings help identify these lesions, confirmed later on tissue diagnosis.

Methods

Hamartomas form a rare and distinct group of benign breast lesions which are characterized by distinctive mammographic and pathological features, added to a high degree of clinical suspicion. They do not possess specific diagnostic histological features. The role of fine needle aspiration cytology and needle core biopsy in making the diagnosis is limited, and requires clinical and radiological correlation to avoid under diagnosis. The presence of fibrous tissue within the lobules, or fibrous tissue and fat in the stroma, with or without pseudoangiomatous changes, should alert the pathologist to the possibility of a hamartoma. Although hamartomas are benign, coincidental malignancy can occur, and the issue of potential recurrence has not been resolved.

Results

We presented a case of mammary hamartoma in an 82-year-old female which was picked up on a chest CT scan, diagnosis was confirmed by mammogram, breast ultra sound scan as well as core biopsy.

Conclusions

Breast hamartoma is a rare entity, but whenever unfamiliar presentation of benign breast lesion is encountered with microcalcifications, this entity should be considered and coexistent malignancy should be ruled out.

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Literatur
1.
Zurück zum Zitat Arrigoni MG, Dockerty MB, Judd ES. The identification and treatment of mammary Hamartoma. Surg Gynecol Obstet. 1971;133:577–82. PubMed Arrigoni MG, Dockerty MB, Judd ES. The identification and treatment of mammary Hamartoma. Surg Gynecol Obstet. 1971;133:577–82. PubMed
2.
Zurück zum Zitat Jones MW, Norris HJ, Wargotz ES. Hamartomas of the breast. Surg Gynecol Obstet. 1991;173:54–6. PubMed Jones MW, Norris HJ, Wargotz ES. Hamartomas of the breast. Surg Gynecol Obstet. 1991;173:54–6. PubMed
3.
Zurück zum Zitat Davies JD, Kulka J, Mumford AD, et al. Hamartomas of the breast: six novel diagnostic features in three-dimensional thick sections. Histopathology. 1994;24:161–8. PubMedCrossRef Davies JD, Kulka J, Mumford AD, et al. Hamartomas of the breast: six novel diagnostic features in three-dimensional thick sections. Histopathology. 1994;24:161–8. PubMedCrossRef
4.
Zurück zum Zitat Fisher CJ, Hanby AM, Robinson L, et al. Mammary hamartoma—review of 35 cases. Histopathology. 1992;20:99–106. PubMedCrossRef Fisher CJ, Hanby AM, Robinson L, et al. Mammary hamartoma—review of 35 cases. Histopathology. 1992;20:99–106. PubMedCrossRef
5.
Zurück zum Zitat Daya D, Trus T, D’Souza TJ, et al. Hamartoma of the breast, an underrecognized breast lesion. Am J Clin Pathol. 1995;103:685–9. PubMed Daya D, Trus T, D’Souza TJ, et al. Hamartoma of the breast, an underrecognized breast lesion. Am J Clin Pathol. 1995;103:685–9. PubMed
7.
Zurück zum Zitat Kopans DB. Pathologic, mammographic and sonographic correlation. In: Kopans DB. Breast imaging. 2nd ed. Boston: Lippincott-Raven; 1998. pp. 558–60. Kopans DB. Pathologic, mammographic and sonographic correlation. In: Kopans DB. Breast imaging. 2nd ed. Boston: Lippincott-Raven; 1998. pp. 558–60.
9.
Zurück zum Zitat Magro G, Bisceglia M. Muscular hamartoma of the breast. Case report and review of literature. Pathol Res Pract. 1998;194:349–55. PubMedCrossRef Magro G, Bisceglia M. Muscular hamartoma of the breast. Case report and review of literature. Pathol Res Pract. 1998;194:349–55. PubMedCrossRef
10.
Zurück zum Zitat Singh M, Nawaz S. Fine needle aspiration of breast hamartoma. Acta Cytol. 1998;42:437–8. PubMed Singh M, Nawaz S. Fine needle aspiration of breast hamartoma. Acta Cytol. 1998;42:437–8. PubMed
Metadaten
Titel
Myoid hamartoma of the breast: case report
verfasst von
S. Monib
B. Amr
J. T. C. Lee
S. P. Raymound
Publikationsdatum
01.02.2013
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 1/2013
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-012-0175-7