Abstract
Hamartoma of the breast is a relatively rare, well-circumscribed benign breast tumour that lacks a true capsule, and is composed primarily of dense, fibrous tissue with associated ducts and a variable amount of fat. A typical mammographic finding is a well-delineated, non-homogeneous mass containing mottled densities corresponding to fat, epithelium and connective tissue. Ultrasonographically, hamartoma has a well-circumscribed heterogeneous internal echo pattern corresponding to areas of fat and soft tissue components. This is the first original paper to describe the MRI findings of hamartomas. Mammography and ultrasonography usually enable a diagnosis of hamartoma; however, gadolinium-DTPA enhanced dynamic MRI is the only method in the preoperative management of atypical hamartomas that allows the exclusion of malignancy elsewhere in the breast and hamartoma.
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References
Arrigoni M, Dockerty M, Judd E (1971) The identification and treatment of mammary hamartoma. Surg Gynecol Obstet 133: 577–582
Obeerman HA (1989) Hamartoma and hamartoma variants of breast. Semin Diagn Pathol 6: 135–145
Linell F, Ljungberg O (1984) Atlas of breast pathology. Munksgaard, Copenhagen
Hessler C, Schnyder P, Oaaello L (1978) Hamartoma of the breast: diagnostic observation of 16 cases. Radiology 126: 95–98
Heywang Kobrunner SH (1990) Contrast enhanced MRI of the breast. Karger, Basel, pp 46–85, 87 – 90
Barth V, Preechtel K (1990) Atlas der Brustdrüse und ihrer Erkrankungen. Enke, Stuttgart (Cited in Heywang Kobrunner SH (1990), p 85)
Hoeffken W, Lanyi M (1977) Mammography. Saunders, Philadelphia (Cited in Heywang Kobrunner SH (1990), p 85)
Crothers JG, Butler NF, Fortt RW et al. (1985) Fibroadenolipoma of the breast. Br J Radiol 58: 191–202
Oh KK, Hwang HS, Yoon CS, Min JS, Lee KS, Jeong HJ (1991) Breast hamartoma: 3 case reports. J Korean Radiol Soc 27 (1): 77–81
Vassar PS, Culling CFA (1959) Fibrosis of the breast. AMA Arch Pathol 67: 128–133
Egan RL (1970) Mammography and breast diseases, section 1d. In: Golden's diagnostic radiology, ed Robbins LL, pp 202 Williams & Wilkins, Baltimore
Wolfe JN (1977) Xeroradiography: breast calcifications. CC Thomas, Springfield, Illinois, p 108
Hogeman KE, Osttberg G (1963) Unilateral mammary hyperplasia. Acta Pathol Microbiol Scand 39: 560
Hogeeman KE, Osttberg G (1968) Three cases of postlactational breast tumors of peculiar type. Acta Pathol Microbiol Scand 73: 169–176
Linell F, Ostburg G, Sonderstrom J, Andersson J, Hildell J, Ljungqvist U (1979) Breast hamartomas: an important entity in mammary pathology Virchows Arch [A] 383: 253–264
Ljungqvist U, Andersson I, Hildell J, Linell F (1979) Mammary hamartoma, a benign breast lesion. Acta Chir Scand 115: 227–230
Helvie MA, Adler DD, Rebner M, Oberman HA (1989) Breast hamartomas: variable mammographic appearance. Radiology 170: 417–420
Tedeschi CG (1948) Mammary lipoma. Arch Pathol 46: 386–396
Andersson I, Hildell J, Linell F, Ljuncqvist U (1979) Mammary hamartomas. Acta Radiol Diagn 20: 5
McSweeny MB, Murphy CH (1985) Whole breast sonography. Radiol Clinn North Am 23: 157–167
Kaiser WA, Zeitler E (1989) MR imaging of the breast: fast imaging sequences with and without GD-DTPA. Radiology 170: 681–686
Burton EM, Ball WS Jr, Crone K, Dolan LM (1989) Hamartoma of the tuber cinereum: a comparison of MR and CT findings in four cases. AJNR 10: 497–501
Schlesinger AE, Smith MB, Grenez BM, McMahon DP, Swaney JJ (1989) Chest wall mesenchymoma (hamartoma) in infancy: CT and MR findings. Pediatr Radiol 19: 212–213
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Correspondence to: K. K. Oh
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Oh, K.K., Kim, M.H., Yoon, C.S. et al. Gadolinium-enhanced MRI of breast hamartoma. Eur. Radiol. 5, 204–212 (1995). https://doi.org/10.1007/BF00957122
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DOI: https://doi.org/10.1007/BF00957122