The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature

IntroductionTo analyze and summarize the clinical and pathological features of breast hamartoma to enhance clinicians’ awareness of this rare and benign lesion of the breast.MethodsWe retrospectively described the clinical data, imaging results, and pathological findings of 56 patients with breast h...

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Main Authors: Hao Su, Caiyun Bai, Zhimin Fan, Di Wu, Fengjiang Qu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1494768/full
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author Hao Su
Caiyun Bai
Zhimin Fan
Di Wu
Fengjiang Qu
author_facet Hao Su
Caiyun Bai
Zhimin Fan
Di Wu
Fengjiang Qu
author_sort Hao Su
collection DOAJ
description IntroductionTo analyze and summarize the clinical and pathological features of breast hamartoma to enhance clinicians’ awareness of this rare and benign lesion of the breast.MethodsWe retrospectively described the clinical data, imaging results, and pathological findings of 56 patients with breast hamartoma who underwent surgical treatment at the First Hospital of Jilin University between January 2005 and December 2020, and summarized the features. Additionally, a literature review was conducted using the PubMed database for clinical reports on breast hamartoma and analyzed them.ResultsThis study included 56 female patients. Preoperative ultrasound revealed round or elliptical heterogeneous echoes with clear boundaries: hypoechoic in 35 cases (63%), iso-echoic in 8 cases (14%), hyperechoic in 1 case (2%), mixed echo in 9 cases (16%), slightly strong echo in 1 case (2%), and uneven echo of fat in 2 cases (4%). Mammography was performed in 33 cases, revealing clear and dense shadows in 20 cases (61%) and dense shadows on the outer edges in 16 cases (48%). The excised masses were solid, with light yellow and gray cut surfaces. Pathological analysis identified ducts and fibrous tissue, with intra-tumoral fat content ranging from 10 to 90%.ConclusionBreast hamartoma is prevalent among perimenopausal women and is characterized by ultrasound and radiography; surgical intervention remains the primary treatment with a good prognosis.
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spelling doaj-art-8c9fdc6c3b8442c99ef421e8bedd83832025-01-22T16:08:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14947681494768The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literatureHao Su0Caiyun Bai1Zhimin Fan2Di Wu3Fengjiang Qu4Department of Breast Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, ChinaDepartment of Breast Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, ChinaDepartment of Breast Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, ChinaDepartment of Breast Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, ChinaDepartment of Emergency Surgery, First Hospital of Jilin University, Changchun, ChinaIntroductionTo analyze and summarize the clinical and pathological features of breast hamartoma to enhance clinicians’ awareness of this rare and benign lesion of the breast.MethodsWe retrospectively described the clinical data, imaging results, and pathological findings of 56 patients with breast hamartoma who underwent surgical treatment at the First Hospital of Jilin University between January 2005 and December 2020, and summarized the features. Additionally, a literature review was conducted using the PubMed database for clinical reports on breast hamartoma and analyzed them.ResultsThis study included 56 female patients. Preoperative ultrasound revealed round or elliptical heterogeneous echoes with clear boundaries: hypoechoic in 35 cases (63%), iso-echoic in 8 cases (14%), hyperechoic in 1 case (2%), mixed echo in 9 cases (16%), slightly strong echo in 1 case (2%), and uneven echo of fat in 2 cases (4%). Mammography was performed in 33 cases, revealing clear and dense shadows in 20 cases (61%) and dense shadows on the outer edges in 16 cases (48%). The excised masses were solid, with light yellow and gray cut surfaces. Pathological analysis identified ducts and fibrous tissue, with intra-tumoral fat content ranging from 10 to 90%.ConclusionBreast hamartoma is prevalent among perimenopausal women and is characterized by ultrasound and radiography; surgical intervention remains the primary treatment with a good prognosis.https://www.frontiersin.org/articles/10.3389/fmed.2024.1494768/fullbreast hamartomamisdiagnosistreatmentultrasound imagingpathological analysis
spellingShingle Hao Su
Caiyun Bai
Zhimin Fan
Di Wu
Fengjiang Qu
The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
Frontiers in Medicine
breast hamartoma
misdiagnosis
treatment
ultrasound imaging
pathological analysis
title The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
title_full The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
title_fullStr The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
title_full_unstemmed The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
title_short The diagnosis and treatment of 56 cases of breast hamartoma: a single-center analysis and a review of the literature
title_sort diagnosis and treatment of 56 cases of breast hamartoma a single center analysis and a review of the literature
topic breast hamartoma
misdiagnosis
treatment
ultrasound imaging
pathological analysis
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1494768/full
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