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Hamartoma - Case 2

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In this case, we have a 30-year-old female presenting

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with a palpable abnormality in the left breast.

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The location is not specified, um, by the patient,

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um, and was obtained at an outside facility,

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potentially, um, felt by her, uh, provider.

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If you look at image quality,

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uh, this looks like a good exam.

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We see nice pectoralis muscles,

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and IMF is great here on the right.

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Maybe a little marginal on the left,

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uh, but certainly an adequate study.

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Let's look at just the left breast, um,

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and see if we can find anything there.

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As we look at these SM views, we can see that

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there's one area that stands out here in the

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left breast and the lateral side, which has,

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uh, fat-containing mass with a thin encapsulated

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margin containing some internal lobular.

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Corresponding,

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on the left side, we see an oval fat-containing

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mass with a thin circumscribed margin, um,

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with, uh, some internal fibrous elements.

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Just to confirm, we would look through

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the DBT slices, and as we scroll to the

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middle of the imaging stack, again, you

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can really see that margin very nicely.

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In this case, we can follow it almost all the

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way around, proving that it, it is, uh, thin and

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circumscribed in its entirety, and within that

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fat-containing mass, the fibrous elements all look normal

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in appearance with no associated abnormal periareolar masses.

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Um, and we can also confirm that

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on the lateral view as well.

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You see the thin encapsulated margin, fat-containing

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mass with normal IGL elements contained within.

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And these findings are compatible

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with a benign hematoma.

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The patient can return to routine screening next year.

Report

Faculty

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Tags

Women's Health

Tomosynthesis

Oncologic Imaging

Mammography

Breast

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