Breast hamartoma (tomosynthesis)

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Right breast palpable mass on physical exam. On ultrasonography evaluation a heterogeneous, lobulated mass was reported in the right breast.

Patient Data

Age: 55 years
Gender: Female

A heterogeneous dense mass with fat and soft tissue density components and lobulated margin that is better seen on tomosynthesis images is noted in the lower outer quadrant of the right breast. No internal calcification or surrounding parenchymal distortion could be identified. 

Case Discussion

A fat containing lobulated mass in the right breast of a 55 years old patient with the presentation of a palpable mass on physical exam compatible with a BI-RADS 2 lesion and consistent with breast hamartoma, which is a benign breast lesion. 

As seen in this case, in dense breasts with obscured masses, digital breast tomosynthesis could be more helpful for better evaluation of the breast lesions, particularly the margin and internal components.

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