Skip to main content

Hamartoma

  • Living reference work entry
  • First Online:
Encyclopedia of Pathology

Part of the book series: Encyclopedia of Pathology ((EP))

  • 40 Accesses

Synonyms

Adenolipofibroma; Adenolipoma; Fibroadenolipoma; Lipofibroadenoma

Definition

Hamartoma is from Greek hamartia meaning “fault, defect” and -oma denoting a tumor or neoplasm. (Seth 2017). The pathological definition of a hamartoma, irrespective of site of origin, is an abnormal proliferation of tissue indigenous to the organ to create a mass or tumor. In the breast, the constituents of the mass include fat, fibrous tissue, and epithelial elements. Although previously described, Arrigoni and colleagues are given credit for increasing the awareness of the existence of a breast hamartoma (Arrigoni et al. 1971).

Clinical Features

Incidence

In the premammographic era, breast hamartomas went largely unrecognized. With the introduction of screening mammography, the realization that a hamartoma is a stand-alone pathological entity is on the rise. The incidence of hamartomas is reported to be between 0.4 and 1.15% and constitutes about 4.8% of all benign breast tumors (Wu et al. 2003)....

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References and Further Reading

  • Amir, R. A., & Sheikh, S. S. (2016). Breast hamartoma: A report of 14 cases of an under-recognised and under-reported entity. International Journal of Surgery Case Reports, 22, 1–4.

    Article  CAS  Google Scholar 

  • Anani, P. A., & Hessler, C. (1996). Breast hamartoma with invasive ductal carcinoma: Report of two cases and review of the literature. Pathology, Research and Practice, 192, 1187–1194.

    Article  CAS  Google Scholar 

  • Arrigoni, M. G., Dockerty, M. B., & Judd, E. S. (1971). The identification and treatment of mammary hamartomas. Surgery, Gynecology & Obstetrics, 133, 577–582.

    CAS  Google Scholar 

  • Bowman, E., Gabriela, O., Okolı, J., Gundry, K., Rizzo, M., Gabram-Mendola, S., Manne, U., Smith, G., Pambuccian, S., & Bumpers, H. L. (2012). Pseudoangiomatous stromal hyperplasia (PASH) of the breast: A series of 24 patients. The Breast Journal, 18, 242–247.

    Article  Google Scholar 

  • Cazorla, S., & Arentz, C. (2015). Breast hamartomas-differential consideration in slow developing breast asymmetry. JPRAS Open, 3, 17–21. www.jprasopen.com/article/S2352-5878(14)00009-6/pdf . Accessed 11/11/17.

    Article  Google Scholar 

  • Chao, T., Chao, H., & Chen, M. (2007). Sonographic features of breast hamartomas. Journal of Ultrasound in Medicine, 26, 447–452.

    Article  Google Scholar 

  • Choi, N., & Ko, E. S. (2010). Invasive ductal carcinoma in a mammary hamartoma: Case report and review of the literature. Korean Journal of Radiology, 11, 687–691.

    Article  Google Scholar 

  • Daya, D., Trus, T., D'Souza, T. J., Minuk, T., & Yemen, B. (1995). Hamartoma of the breast, an underrecognized breast lesion: A clinicopathologic and radiographic study of 25 cases. American Journal of Clinical Pathology, 103, 685–689.

    Article  CAS  Google Scholar 

  • Dietrich, C. U., Pandis, N., Andersen, J. A., & Heim, S. (1994). Chromosome abnormalities in adenolipomas of the breast: Karyotypic evidence that the mesenchymal component constitutes the neoplastic parenchyma. Cancer Genetics and Cytogenetics, 72, 146–150.

    Article  CAS  Google Scholar 

  • Erdem, G., Karakas, H. M., Isik, B., & Firat, A. K. (2011). Advanced MRI findings in patients with breast hamartomas. Diagnostic and Interventional Radiology, 17, 33–37.

    PubMed  Google Scholar 

  • Fiala, K. H. (2016) Cowden disease (multiple hamartoma syndrome). emedicine.medscape.com/article/1093383-overview. Accessed 18 Nov 2017.

    Google Scholar 

  • Gold, L. I. (1999). The role for transforming growth factor-beta (TGF-beta) in human cancer. Critical Reviews in Oncogenesis, 10, 303–360.

    CAS  PubMed  Google Scholar 

  • Gómez García, E. B., Lobbes, M. B., van de Vijver, K., Keymeulen, K., van der Ent, F., Yntema, H. G., et al. (2012). Occult breast cancer due to multiple calcified hamartomas in a patient with Cowden syndrome. Case Reports Radiology, 638725.

    Google Scholar 

  • Herbert, M., Sandbank, J., Liokumovich, P., Yanai, O., Pappo, I., Karni, T., et al. (2002). Breast hamartomas: Clinicopathological and immunohistochemical studies of 24 cases. Histopathology, 41, 30–34.

    Article  CAS  Google Scholar 

  • Hogamen, K., & Ostberg, G. (1968). Three cases of post-lactational breast tumour of peculiar type. Acta Pathologica et Microbiologica Scandinavica, 73, 169–176.

    Article  Google Scholar 

  • Liaw, D., Marsh, D. J., Li, J., Dahia, P. L., Wang, S. I., Zheng, Z., et al. (1997). Germline mutations of the PTEN gene in Cowden disease, an inherited breast and thyroid cancer syndrome. Nature Genetics, 16, 64–67.

    Article  CAS  Google Scholar 

  • McGuire, L.I., & Cohn, D. (1991). Hamartoma of the breast. Aust NZ J Surg, 61, 713–716.

    Article  CAS  Google Scholar 

  • Metcalf, J. S., & Ellis, B. (1985). Choristoma of the breast. Human Pathology, 16, 739–740.

    Article  CAS  Google Scholar 

  • Park, S. Y., Oh, K. K., Kim, E. K., Son, E. J., & Chung, W. H. (2003). Sonographic findings of breast hamartoma: Emphasis on compressibility. Yonsei Medical Journal, 44, 847–854.

    Article  Google Scholar 

  • Rohen, C., Caselitz, J., Stern, C., et al. (1995). A hamartoma of the breast with an aberration of 12q mapped to the MAR region by fluorescence in situ hybridization. Cancer Genetics and Cytogenetics, 84, 82–84.

    Article  CAS  Google Scholar 

  • Sabaté, J. M., Gómez, A., Torrubia, S., Blancas, C., Sánchez, G., Alonso, M. C., et al. (2006). Evaluation of breast involvement in relation to Cowden syndrome: A radiological and clinicopathological study of patients with PTEN germ-line mutations. European Radiology, 16, 702–706.

    Article  Google Scholar 

  • Seth, R. Hamartoma. emedicine.medscape.com/article/1254012-overview. Accessed 27 Oct 2017.

  • Tse, G. M. K., Law, B. K. B., Ma, T. K. F., Chan, A. B. W., Pang, L. M., Chu, W. C. W., & Cheung, H. S. (2002). Hamartoma of the breast: A clinicopathological review. Journal of Clinical Pathology, 55, 951–954.

    Article  CAS  Google Scholar 

  • Wu, C. Y., Lin, S. H., Tu, S. H., Huang, C. S., & Jeng, C. M. (2003). Hamartoma of the breast. Chinese Journal of Radiology, 28, 143–148.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine N. Chinyama .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Chinyama, C.N. (2018). Hamartoma. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4752-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4752-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics