E-ISSN 2587-0831
Original Article
Our 20-Year Institutional Experience with Surgical Approach for Breast Hamartomas
1 Department of General Surgery, Trakya University School of Medicine, Edirne, Turkey  
2 İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
3 Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
4 Department of Pathology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
5 Department of General Surgery, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey  
Eur J Breast Health 2019; 15: 171-175
DOI: 10.5152/ejbh.2019.4624
Key Words: Breast disease, hamartoma, phyllodes tumor
Abstract

 

Objective: Hamartomas are rare, slowly-growing breast tumours. Clinical, radiological and histopathological examination together increase the diagnostic accuracy. To evaluate the clinicopathologic features of hamartomas and outline our clinical approach to hamartomas in our 20-year experience at our Breast Clinic.

 

Materials and Methods: Between 1995 and 2015, 24 cases were retrospectively analyzed with a diagnosis of breast hamartoma at our Breast Clinic followed by excisional biopsy. Data was obtained on patient demographics, clinical examination, radiological findings and histopathological subtypes.

 

Results: Of 1338 benign breast tumours excised from January 1995 to January 2015, 24 (1.8%) were identified as breast hamartoma. Median age of patients was 42 (range, 13-70), whereas the median tumour size was 5 cm (1-10 cm). On preoperative imaging, hamartoma was most commonly misdiagnosed as fibroadenoma. Pathological examination of the 24 biopsy specimens revealed 3 cases with pseudoangiomatous stromal hyperplasia, and another hamartoma associated with a radial scar within the centre of the lesion. Of those, one patient was diagnosed with malignant phylloides tumour in the same breast. At a median follow-up 58.4 months, none of the patients recurred or developed malignancy.

 

Conclusion: Hamartomas can often be missed by clinicians, due to its benign nature which is poorly understood. Despite their slow growth, hamartomas can reach large sizes and can cause breast asymmetry. Although it is rare, hamartoma can be seen along with malignancy, as it is formed from similar components of breast tissue. Therefore, careful diagnosis and appropriate management including surgery are required.

 

 

Cite this article as: Türkyılmaz Z, Aydın T, Yılmaz R, Özkurt E, Tükenmez M, Müslümanoğlu M, Acunaş G, İğci A, Özmen V, Dinçağ A, Cabıoğlu N. Our 20-Year Institutional Experience with Surgical Approach for Breast Hamartomas. Eur J Breast Health 2019; 15(3): 171-175.

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AVES | Copyright © 2019 Turkish Federation of Breast Diseases Associations | Latest Update: 02.07.2019