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Fatty tissue breast lesions

      Abstract

      Hamartoma, lipoma and fat necrosis are benign fatty tissue lesions that may present as breast lumps. The mammographic appearance may be distinctive allowing imaging diagnosis without biopsy. The characteristic feature of hamartoma is that of a compressible mass containing radiolucent fat interchanged with dense fibrous connective tissue surrounded by a thin radioopaque pseudocapsule. Lipomas are radiolucent with well-defined thin smooth capsule. Twenty-seven percent of fat necrosis appears as discrete round or oval radiolucent oil cyst with thin capsule and egg-shell calcification.

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      References

        • Aggelatou R
        • Mouselimi M
        • Panou A
        The role of mammography in the diagnostic approach of breast hamartomas.
        Eur J Gynaecol Oncol. 1998; 19: 399-400
        • Arrigoni MG
        • Dockerty MB
        • Judd ES
        The identification and treatment of mammary hamartoma.
        Surg Gynaecol Obstet. 1971; 133: 577-582
        • Berna JD
        • Nieves FJ
        • Romero T
        • Arcas I
        A multimodality approach to the diagnosis of breast hamartomas with atypical mammographic appearance.
        Breast J. 2001; 7: 2-7
        • Gogas J
        • Markopoulos C
        • Gogas H
        • Skandalakis P
        • Kontzoglou K
        • Stavridou A
        Hamartomas of the breast.
        Am Surg. 1994; 60: 447-450
        • Adler DD
        • Jeffries DO
        • Helvie MA
        Sonographic features of breast hamartomas.
        J Ultrasound Med. 1990; 9: 85-90
        • Black J
        • Metcalf C
        • Wylie EJ
        Ultrasonography of breast hamartomas.
        Australas Radiol. 1996; 40: 412-415
        • Crothers JG
        • Butler NF
        • Fortt RW
        • Gravelle IH
        Fibroadenolipoma of the breast.
        Br J Radiol. 1985; 58: 191-202
        • Hessler C
        • Schnyder P
        • Ozzello L
        Hamartoma of the breast: diagnostic observation of 16 cases.
        Radiology. 1978; 126: 95-98
        • Daya D
        • Trus T
        • D'Souza TJ
        • Minuk T
        • Yemen B
        Hamartoma of the breast, an underrecognized breast lesion. A clinicopathologic and radiographic study of 25 cases.
        Am J Clin Pathol. 1995; 103: 685-689
        • Helvie MA
        • Adler DD
        • Rebner M
        • Oberman HA
        Breast hamartomas: variable mammographic appearance.
        Radiology. 1989; 170: 417-421
        • Mendiola H
        • Henrik-Nielsen R
        • Dyreborg U
        • Blichert-Toft M
        • Al-Hariri JA
        Lobular carcinoma in situ occurring in adenolipoma of the breast. Report of a case.
        Acta Radiol, Diagn. 1982; 23: 503-505
        • Anani PA
        • Hessler C
        Breast hamartoma with invasive ductal carcinoma. Report of two cases and review of the literature.
        Pathol Res Pract. 1996; 192: 1187-1194
        • Kopans DB
        • Meyer JE
        • Proppe KH
        Ultrasonographic, xeromammographic and histologic correlation of fibroadenolipoma of the breast.
        J Clin Ultrasound. 1982; 10: 409-411
        • Wahner-Roedler DL
        • Sebo TJ
        • Gisvold JJ
        Hamartomas of the breast: clinical, radiologic, and pathologic manifestations.
        Breast J. 2001; 7: 101-105
        • Rodriguez LF
        • Shuster BA
        • Milliken RG
        Giant lipoma of the breast.
        Br J Plastic Surg. 1997; 50: 263-265
        • Hall FM
        • Connolly JL
        • Love SM
        Lipomatous pseudomass of the breast: diagnosis suggested by discordant palpatory and mammographic findings.
        Radiology. 1987; 164: 463-464
        • Bassett LW
        • Gold RH
        • Cove HC
        Mammographic spectrum of traumatic fat necrosis: the fallibility of “pathognomonic” signs of carcinoma.
        AJR. 1978; 130: 119-122
        • Orson LW
        • Cigtay OS
        Fat necrosis of the breast: characteristic xeromammographic appearance.
        Radiology. 1983; 146: 35-38
        • Bilgen IG
        • Ustun EE
        • Memis A
        Fat necrosis of the breast: clinical, mammographic and sonographic features.
        Eur J Radiol. 2001; 39: 92-99