Hamartomas of the breast: six novel diagnostic features in three-dimensional thick sections.

Abstract:

:Fifteen hamartomas of the breast have been studied by dissecting microscopy of thick sections at a depth of 1.0 to 2.5 mm, and by conventional 5 microns deep sections. This combined approach has revealed six distinctive features, three in the parenchymal structure and three in the connective tissue components. Ducts (invariably of penetrating or arcuate configuration) and discrete lobules, neither of which are seen in lesions accepted as fibroadenomas, were invariably found. In one-third of hamartomas, up to 10% of the surface area was occupied by Herãti-style nodules composed of concentric rings of epithelium. In the hyaline interlobular connective tissue characteristic drifts of caraway seed-like fibrocytes, encasement of adipocytes by hyaline collagen, or spider-naevus vascular abnormalities were found in approximately half of the mammary hamartomas when examined in thick sections. Hitherto the positive diagnosis of hamartomas of the breast has relied on a combined clinical, radiological and pathological assessment. We suggest that the additional features described here, taken in conjunction with those already known, may facilitate the recognition of mammary hamartomas by histopathological examination alone.

journal_name

Histopathology

journal_title

Histopathology

authors

Davies JD,Kulka J,Mumford AD,Armstrong JS,Wells CA

doi

10.1111/j.1365-2559.1994.tb01296.x

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

161-8

issue

2

eissn

0309-0167

issn

1365-2559

journal_volume

24

pub_type

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