E-ISSN 2587-0831
Original Article
Surgical Approach to Breast Hamartoma and the Diagnostic Accuracy in Preoperative Biopsies
1 Department of General Surgery, Haseki Education and Research Hospital, İstanbul, Turkey  
2 Department of General Surgery, Okmeydanı Education and Research Hospital, İstanbul, Turkey  
Eur J Breast Health 2013; 9: 186-190
DOI: 10.5152/tjbh.2013.30
Key Words: Hamartoma, breast, biopsy
Abstract

Objective: Breast hamartomas are benign breast tumors, which are observed very rarely. We aimed to share our surgical approaches and a comparison of preoperative and postoperative pathology results of patients applying to breast polyclinics.

 

Materials and Methods: Out of 32.000 patients approximately, we reviewed data of 12 patients with the diagnosis of breast hamartoma retrospectively, who had applied to the breast polyclinic between dates of March 2007 and October 2012.

 

Results: All patients were female and their average age was 35 (17-58 years). Four of the hamartomas were detected in the right breast, and eight in the left breast. The average diameter of lesions was 7.3 cm (3-21cm). The diameter in our three cases was above 10 cm, and they were evaluated as giant hamartomas. All our cases underwent a fine needle aspiration biopsy (FNAB) or a core biopsy preoperatively. When the reports of preoperative biopsies performed on patients who had applied due to a palpable mass and the postoperative pathology reports were compared, it was detected that they showed a substantial correlation.

 

Conclusion: Hamartomas are benign tumors of the breast. The rate of preoperative diagnosis is high when physical examination, imaging and histopathology approaches are taken in combination. Although very rare, a surgical excision should be performed due to the malignant change in tumors.

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