Synonyms
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)....
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.
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.
Arrigoni, M. G., Dockerty, M. B., & Judd, E. S. (1971). The identification and treatment of mammary hamartomas. Surgery, Gynecology & Obstetrics, 133, 577–582.
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.
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.
Chao, T., Chao, H., & Chen, M. (2007). Sonographic features of breast hamartomas. Journal of Ultrasound in Medicine, 26, 447–452.
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.
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.
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.
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.
Fiala, K. H. (2016) Cowden disease (multiple hamartoma syndrome). emedicine.medscape.com/article/1093383-overview. Accessed 18 Nov 2017.
Gold, L. I. (1999). The role for transforming growth factor-beta (TGF-beta) in human cancer. Critical Reviews in Oncogenesis, 10, 303–360.
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Hogamen, K., & Ostberg, G. (1968). Three cases of post-lactational breast tumour of peculiar type. Acta Pathologica et Microbiologica Scandinavica, 73, 169–176.
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.
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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.
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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.
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.
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.
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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
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4752-1
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