Infarction of breast fibroadenoma in a postmenopausal woman

Infarction of a breast fibroadenoma usually occurs in young females during pregnancy or lactation. This report describes a rare case of the total infarction of a fibroadenoma in a 58 year old postmenopausal woman. The chief complaint was a rapidly enlarged, slightly painful lump. Medullary carcinoma...

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Bibliographic Details
Published inPathology international Vol. 44; no. 5; p. 398
Main Authors Ichihara, S, Matsuyama, T, Kubo, K, Tamura, Z, Aoyama, H
Format Journal Article
LanguageEnglish
Published Australia 01.05.1994
Subjects
Breast Neoplasms - blood supply
Breast Neoplasms - pathology
Female
Fibroadenoma - blood supply
Fibroadenoma - pathology
Humans
Infarction - pathology
Middle Aged
Postmenopause
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Summary:Infarction of a breast fibroadenoma usually occurs in young females during pregnancy or lactation. This report describes a rare case of the total infarction of a fibroadenoma in a 58 year old postmenopausal woman. The chief complaint was a rapidly enlarged, slightly painful lump. Medullary carcinoma was suspected on palpation and mammography. Microscopically, the tumor was composed of a coarsely lobulated necrotic mass invaginated into an epithelial lined cyst. This was interpreted as an infarcted intracanalicular fibroadenoma, although the possibility of an infarcted phyllodes tumor cannot be entirely excluded. The significance of this rare event is the possible confusion with carcinoma. Extensive search for viable tissue is essential for the confirmation of the diagnosis.
ISSN:1320-5463
DOI:10.1111/j.1440-1827.1994.tb02941.x