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Mammary hamartoma- a clinical dilemma.
[cowden syndrome]
Mammary
hamartoma
is
an
uncommon
benign
lesion
.
The
frequency
of
the
tumor
is
reported
between
0
.
04
-
1
.
15
%
and
it
accounts
for
4
.
8
%
of
all
benign
breast
tumors
.
The
lesion
may
be
under-diagnosed
by
the
clinician
because
of
the
varied
clinical
presentation
or
by
the
pathologist
,
as
the
microscopic
appearance
is
not
distinctive
.
A
case
of
left
sided
mammary
hamartoma
in
a
46
-
year
-old
female
who
presented
with
a
freely
mobile
mass
is
reported
.
A
clinical
diagnosis
of
fibroadenoma
was
made
and
lumpectomy
performed
.
Histopathology
and
gross
diagnosis
confirmed
it
to
be
a
case
of
mammary
hamartoma
.
Extensive
area
of
adenosis
,
focal
cystic
change
,
apocrine
metaplasia
and
columnar
cell
change
was
noted
.
Identification
of
hamartoma
is
important
because
there
are
the
problems
of
recurrence
,
co
-existent
carcinomas
and
association
with
Cowden
syndrome
.
Keywords
:
Hamartoma
,
fibroadenoma
,
apocrine
,
metaplasia
,
ductal
carcinomas
.
Diseases
Validation
Diseases presenting
"sided mammary hamartoma"
symptom
cowden syndrome
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