Clear Cell Hidradenoma Associated with Hamartoma of the Breast. Report of a Case.

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  • 乳腺における澄明細胞汗腺腫と過誤腫の同時合併例

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Abstract

A 41-year-old woman was seen at the hospital because of a gradually enlarging tumor in the CD area of the left breast on April 6 1998, for which she first noticed in November 1997. On palpation, an 1.5×1.5cm elastic hard tumor with a slightly obscure border in the CD area and a 2.0×1.7cm well-defined elastic soft tumor in the AC area of the left breast were felt. Intraoperative frozen section pathological study could not differentiate whether both lesions were benign or malignant, and consequently the operation was discontinued. A pathological study of the permanent preparation disclosed that the tumor in the CD area was clear cell hidradenoma which is unexpected in the breast and another tumor in the AC area was hamartoma. The hamartoma was histologically confused with breast cancer, because sclerosing adenosis like histologic feature was associated and fatty tissues were partially involved.<br>In the case of breast tumor for which intraoperative frozen section diagnosis is questionable, it is important to wait the pathological result of the permanent preparation to avoid excessive surgery.

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