SONOWORLD : Breast hamartoma

Username

Password

154,598 Registered Members as of 06/25/2017.

JavaScript must be enabled in order for you to use Sonoworld.com in standard view. However, it seems JavaScript is either disabled or not supported by your browser. To use standard view, enable JavaScript by changing your browser options, then try again.

Breast » Breast

Breast hamartoma

« Back to Listing

Presentation A 35-year-old woman presented with a palpable mass in her right breast. A mammogram and ultrasound were performed.

Caption: Cranio-caudal view of right breast

Description: The breast shows dense fibro-glandular architecture. No mass is discernible in this image.

Caption: Medio-lateral oblique view of right breast

Description: Another view reaffirms the presence of a dense fibro-glandular architecture with no specific mass.

Caption: Ultrasound of the palpable abnormality

Description: Ulrasound demonstrates a well-defined hypoechoic mass in the right breast. The mass is predominantly hypoechoic with some internal hyperechoic areas.

Caption: Ultrasound of the palpable abnormality

Description: This is the same image with the borders of the mass delineated by arrows.

Caption: Ultrasound of the palpable abnormality

Description: This composite image demonstrates the entire extent of the mass.

Differential Diagnosis fibroadenoma, hamartoma

Final Diagnosis Breast hamartoma

Discussion The typical ultrasound appearance of a breast hamartoma has been described as a well-defined hypoechoic mass with hyperechoic lines /bands within it ¹. The hyperechogenicity may be attributed to the fibrous components of the hamartoma.³

Case References

1. Berná J.D.; Nieves F.J.; Romero T.; Arcas I. A Multimodality Approach to the Diagnosis of Breast Hamartomas with Atypical Mammographic Appearance. The Breast Journal, Volume 7, Number 1, January 2001, pp. 2-7(6)
2. Dianne Georgian-Smith, Bret Kricun, Grace McKee, et al. The Mammary Hamartoma. Appreciation of Additional Imaging Characteristics. J. Ultrasound Med 2004. 23:1267-1273
3. Sandra Hagen-Ansert. Sonographic Evaluation of the Breast. http://www.gehealthcare.com/inen/rad/us/education/msucmebr.html

Follow Up Core biopsy was performed with subsequent excisional biopsy. Pathology demonstrated a breast hamartoma.

Other contents by this AuthorOther Cases in This Category

Breast >> Breast

Breast cyst in a teenage girl.
This 14 year old girl presented with a small palpable, painful mass in the left breast.

Breast carcinoma with metastases to axilla
A 40-year-old woman presents with a hard lump in the right breast. There was palpable right axillary lymphadenopathy. The following are the ultrasound images of the mass and the axillary node.

Breast ductal carcinoma
A 50-year-old woman presents with a lump in the right breast. An ultrasound was performed.

Focal mastitis
A 32-year-old lactating woman presents with severe localized pain in her left breast and fever for 2 days. An ultrasound of the breast was performed.

Fibroadenoma of the breast
A 25-year-old woman presents with a mobile breast mass. Mammography and sonomammography were performed.

Intraductal carcinoma
A 40-year-old woman presents with a hard and immobile lump in her breast. A mammogram and ultrasound of the mass was performed.

Recurrent carcinoma of the breast at lumpectomy site
Patient for follow-up;status post lumpectomy for carcinoma of the right breast.

Angiosarcoma of the breast
A 57-year-old woman presented with a recently palpable mass in the left breast. Prior yearly screening mammograms have been negative. Patient has a history of Hodgkins disease treated ...

Inflammatory pseudotumor of the breast
A 66-year-old woman presented with pain and swelling in her breast of 4 years duration. Breast imaging examinations from 2003 and 2004 are illustrated.

Carcinoma in ectopic breast tissue
A 36-year-old woman presents with a mass in the right axilla. Mammogram and ultrasound examination was performed.

Breast abscess
A young lactating woman presents with severe pain and reddish area behind and around the left nipple. An ultrasound of the left breast was performed.

Fibroadenolipoma of the breast
This is the scan in a 31-year-old nulliparous woman with a lump in her left breast. She has a positive family history of breast cancer.