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Surgery Today

, Volume 32, Issue 11, pp 981–984 | Cite as

Cholesterol Granuloma of the Breast Mimicking Carcinoma: Report of a Case

  • Takuya Osada
  • Joji Kitayama
  • Hirokazu Nagawa
Case Reports

Abstract.

Cholesterol granuloma of the breast is a rare benign condition which is often clinically and radiologically indistinguishable from breast carcinoma. We herein report the case of a 62-year-old asymptomatic woman who was found on a routine breast examination to have an elastic hard mass, measuring 0.9 cm in diameter, in the upper outer quadrant of the left breast. Physical examination and ultrasonography strongly suggested a carcinomatous lesion. A cytological examination of a fine-needle aspiration biopsy specimen was inconclusive because of the paucity of epithelial cells. A histological examination of excisional biopsy materials showed scattered cholesterol crystals arranged in irregular, parallel arrays, surrounded by histiocytes and giant cells, which were consistent with a diagnosis of cholesterol granuloma. This case report indicates the importance of performing a histological examination to establish the final diagnosis of cholesterol granuloma. We believe that a better awareness of this breast disease might help to prevent both a misdiagnosis and unnecessary surgery.

Key words Breast Cholesterol granuloma Carcinoma 

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Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Takuya Osada
    • 1
  • Joji Kitayama
    • 1
  • Hirokazu Nagawa
    • 1
  1. 1.Department of Surgical Oncology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanJP

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