Breast Hamartoma

👉Breast hamartomas most likely result from an overgrowth of a portion of normal breast tissue, or from fibrous and glandular elements getting incorporated into a lipomatous growth.

👉Thus, they are sometimes called a “breast within a breast.”

👉They are also variously called adenolipofibroma, lipofibroadenoma, adenolipofibroma, and fibroadenolipoma, because they contain fibrous, fatty, and epithelial tissues.

👉They may present as palpable masses, but are more commonly discovered on routine imaging.

👉They are round, oval, or lobulated and are usually well-circumscribed.

👉They have a mixture of water density and fatty elements and frequently have either a capsule or the appearance of a capsule resulting from surrounding compressed breast tissue.

👉A mammographically classic hamartoma does not require further imaging, short interval follow-up, or biopsy.

👉The presence of a breast hamartoma should prompt further questioning of the patient to be sure there is nothing to suggest she has multiple hamartoma syndrome (Cowden syndrome), a rare disorder caused by a deleterious mutation in the PTEN gene.

👉Patients with this disorder have an increased head circumference, multiple trichilemmoma skin lesions, intestinal hamartomas, and an increased risk of cancer of the breast, thyroid, endometrium and kidney.

👉If there is a personal or family history suggestive of the disorder, genetic testing should be done.

 👉Rodrigo Arrangoiz MS, MD, FACS cirujano oncology y cirujano de mamá de Sociedad Quirúrgica S.C en el America British Cowdray Medical Center en la ciudad de Mexico:

• Es experto en el manejo del cáncer de mama.

 👉Es miembro de la American Society of Breast Surgeons:

Training:

• General surgery:

• Michigan State University:

• 2004 al 2010

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• Fox Chase Cancer Center (Filadelfia):

• 2010 al 2012

• Masters in Science (Clinical research for health professionals):

• Drexel University (Filadelfia):

• 2010 al 2012

• Surgical Oncology / Head and Neck Surgery / Endocrine Surgery:

• IFHNOS / Memorial Sloan Kettering Cancer Center:

• 2014 al 2016

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