Breast Hamartoma
Session
Medicine and Nursing
Description
Breast hamartoma is a benign, slow-growing tumor that can occur at any age. Breast hamartoma is also known as fibroadenolipoma, lipofibroadenoma or adenolipoma, depending on whether it is composed of glandular, fatty or fibrotic tissue. Breast hamartoma has an incidence of 0.1% to 0.7% of benign breast tumors. It is now more frequently diagnosed because of the breast diagnostic procedures such as ultrasound and mammography.
In this study I present a case of 47 years female patient, with recent history of palpable right breast mass.. The patient was examined clinically, with ultrasound, mammography and core needle biopsy. With ultrasound were analyzed echosonographic features of the mass: shape, borders, echostructure, retrotumoral acoustic phenomen and tumor compressibility. Ultrasound showed in the lower inner quadrant of the right breast, well circumscribed mass 3.4 cm x 1.7cm, with heterogeneous hyperechoic internal echo texture with echogenic halo without retrotumor acoustic phenomen. This mass was easily compressed with a transducer.
Mammography was done in the mediolateral oblique and craniocaudal view. Mammography showed a well circumscribed ovoid mass, around 3.4cm x 1.7cm with mixed, heterogeneous density (fat and soft tissue) with a mottled centre, with no evidence of microcalcification. We have also done spot magnification views, were we have seen lack of intrinsic density. Core needle biopsy of the mass was performed under ultrasound. The pathologist microscopically saw dysplastic glandular structures of the lobules and ducts, with a pronounced fibrotic stroma without neoplastic features. The histopathological analysis was hamartoma and the pathologist suggested to do excision of the mass. The patient refused the operation, and decided to follow- up. After 3 years of follow-up with ultrasound and mammography, the breast mass had the same size.
Conclusion:
Biopsy of the hamartoma and histological examination is necessary for a differential diagnosis to exclude malignancy. Breast hamartoma biopsy is recommended when the diagnosis is uncertain or the patient has complaints. In general, hamartoma has a good prognosis with or without surgical excision.
Keywords:
Hamartoma, breast.
Proceedings Editor
Edmond Hajrizi
ISBN
978-9951-550-50-5
Location
UBT Kampus, Lipjan
Start Date
29-10-2022 12:00 AM
End Date
30-10-2022 12:00 AM
DOI
10.33107/ubt-ic.2022.153
Recommended Citation
Disha, Emine Devolli, "Breast Hamartoma" (2022). UBT International Conference. 154.
https://knowledgecenter.ubt-uni.net/conference/2022/all-events/154
Breast Hamartoma
UBT Kampus, Lipjan
Breast hamartoma is a benign, slow-growing tumor that can occur at any age. Breast hamartoma is also known as fibroadenolipoma, lipofibroadenoma or adenolipoma, depending on whether it is composed of glandular, fatty or fibrotic tissue. Breast hamartoma has an incidence of 0.1% to 0.7% of benign breast tumors. It is now more frequently diagnosed because of the breast diagnostic procedures such as ultrasound and mammography.
In this study I present a case of 47 years female patient, with recent history of palpable right breast mass.. The patient was examined clinically, with ultrasound, mammography and core needle biopsy. With ultrasound were analyzed echosonographic features of the mass: shape, borders, echostructure, retrotumoral acoustic phenomen and tumor compressibility. Ultrasound showed in the lower inner quadrant of the right breast, well circumscribed mass 3.4 cm x 1.7cm, with heterogeneous hyperechoic internal echo texture with echogenic halo without retrotumor acoustic phenomen. This mass was easily compressed with a transducer.
Mammography was done in the mediolateral oblique and craniocaudal view. Mammography showed a well circumscribed ovoid mass, around 3.4cm x 1.7cm with mixed, heterogeneous density (fat and soft tissue) with a mottled centre, with no evidence of microcalcification. We have also done spot magnification views, were we have seen lack of intrinsic density. Core needle biopsy of the mass was performed under ultrasound. The pathologist microscopically saw dysplastic glandular structures of the lobules and ducts, with a pronounced fibrotic stroma without neoplastic features. The histopathological analysis was hamartoma and the pathologist suggested to do excision of the mass. The patient refused the operation, and decided to follow- up. After 3 years of follow-up with ultrasound and mammography, the breast mass had the same size.
Conclusion:
Biopsy of the hamartoma and histological examination is necessary for a differential diagnosis to exclude malignancy. Breast hamartoma biopsy is recommended when the diagnosis is uncertain or the patient has complaints. In general, hamartoma has a good prognosis with or without surgical excision.