Blog
Slide tutorial – Case 9
Clinical history: 45yo female, echogenic lesion left breast
Digital slide: H&E (x40) – Review before progressing
Macroscopic and microscopic images:
- Multiple breast core biopsies
- Prominent stromal elements with scattered glandular elements
- Benign glandular elements
- Prominent smooth muscle zones with scattered adipose tissue
Diagnosis:
Video tutorial
Case discussion
This is presented;
- as a novel variant of a common benign lesion of the breast (hamartoma)
The key features to take away include;
- The haphazard arrangement of otherwise benign breast elements
- The prominent smooth muscle elements
Extended learning topics
Discuss benign stromal processes in the breast
- Fibroadenoma vs Phyllodes
- Other entities, eg myofibroblastoma, inflammatory, fibromatosis
Drop me a line or call me at TissuPath if you want to discuss any of these cases further
Andrew
This case has been de-identified and is intended for educational purposes only