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The Largest Hamartoma Case with 32 cm Dimension Causing Breast Asymmetry: The First Case
Murat UCAK, MD
Kemal Turker ULUTAS, MD
NEVSEHIR STATE HOSPITAL, TURKEY
2016-03-07
Presenter: Murat UCAK, MD
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting. The program director is responsible for making a statement within the confines of the box below specific to how much of the work on this project represents the original work of the resident. All authors/submitters of each abstract should discuss this with their respective program director for accurate submission of information as well as the program director's approval for inclusion of his/her electronic signature.
Director Name: ILKE ISITEMIZ, HEAD DIRECTOR
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Breast (Aesthetic and Recon.)
Background: Breast hamartoma is a rare slow-growing clinicopathological lesion. Breast asymmetry is the most common clinical manifestations.
Case Presentation: A 57-year-old female patient applied to clinic with giant mass in left breast causing slow-growing painless breast asymmetry about 10 years. This painless, mobile and well-defined mass was covering almost entire breast with all quadrants. In mixed eco of USG, a 32x20 cm sized solid mass extending to all quadrants of left breast was detected with clearly tracked boundary. We operated with diagnosis of a big fibroadenoma, after biochemistry results were normal. Preoperational drawing was performed to her left breast in accordance with the method of vertical scar mammoplasty. The mass was excised according to the prescribed incision. Subsequent giant cavity was repaired by filling with remaining breast tissue. Thus, it approximately attained to the same size of the other breast. The right breast did not need any surgical intervention.
Discussion: It is, however, seen most frequently in 4th and 5th decades, our case was in 6th decade. The lesion is usually solitary and can be both unilateral and bilateral in breasts. The mass was unilateral in our case. Although it is commonly less than 5 cm, the largest known hamartoma is 24 cm. But in our case, we measured the mass as 32 cm diameter at 1,260 g. To best of our knowledge, this mass was the largest breast hamartoma mass identified in the literature.
