Chao TC, Chao HH, Chen MF. They are typified by a " breast within a breast " appearance on mammogram. 4. Keywords: Breast hamartoma, Ultrasound, Breast elastography Sommario L’amartoma, o fibroadenolipoma, è una rara formazione benigna che può insorgere in diversi organi, tra i … Background Mammary hamartomas are a set of rare benign breast tumors, representing ap-proximately 4.8% of all benign tumors of the breast . The excised left axillary mass was diagnosed as hamartoma arising from the accessory breast tissue ( Figure 4 ). 23:1267-1273 3. Unable to process the form. 1971;133 (4): 577-82. The Mammary Hamartoma. Myoid hamartoma of the breast: case report and review of the literature. They may also present as unilateral breast enlargement without a palpable localized mass 4. 1 We present a case of a 47year-old women, with a long standing palpable mass of the left breast whom imaging studies showed two different tumours, with core biopsy diagnosing a phyllodes tumour and fibrocystic changes. The pathogenesis is still poorly understood and breast hamartoma is not a well-known disorder, so its diagnosis is underestimated by clinicians and pathologists. 2006 (22) 33, F Axillary mass 10 Compatible with the diagnosis of a voluminous nodule NP NP NP Hamartoma NP No (2-year follow-up) Ruiz-Tovar et al., 2006 (23) 43.2 (mean), F, 8 cases Lump (all) 7.25 (mean) Heterogeneous mass with hypoechogenic areas [ncbi.nlm.nih.gov] Unsourced material may be challenged and removed. Diagnostic value of contrast-enhanced ultrasound and shear-wave elastography for breast lesions of sub-centimeter. Definition Sharply circumscribed breast mass composed of normal or fibrocystic appearing tissue Alternate/Historical Names Adenolipoma (variant) Choristoma Fibroadenolipoma Muscular or myoid hamartoma (variant) Diagnostic This article intends to review the characteristic findings of breast hamartoma on mammography, tomosynthesis, ultrasound and Magnetic Resonance Imaging (MRI) techniques. of breast hamartoma: em phasis on comressibility. 2–4 Pathologically, a distinctive appearance is lacking. All breast hamartomas had an oval-shaped and a circumscribed margin. Of the 36 hamartomas, 30 (83.3%) had heterogeneous echogenicity and 28 (77.8%) displayed no changes in posterior echogenicity. Breast hamartoma is a rare entity with an incidence of approximately 0.7% 1, 2 of benign breast masses. Breast hamartoma: ultrasound, elastosonographic, and mammographic features. It can be readily recognized and should not be … Chao TC, Chao HH, Chen MF (2007) Sonographic features of breast hamartomas. This section does not cite any sources. HHS Histologically, they exhibit pushing borders with a pseudo-encapsulation, and consist of a combination of variable amounts of stromal and epithelial components. None of the breast hamartomas showed level III blood. The breast hamartoma was initially identified by Arrigoni et al 1 in 1971 as a well‐circumscribed breast lesion comprising a mixture of benign mammary elements, fibrous tissue, and … A hamartoma is a benign tumor composed of various tissues, and one of its locations may be the breast. La Biblioteca Virtual en Salud es una colección de fuentes de información científica y técnica en salud organizada y almacenada en formato electrónico en la Región de América Latina y el Caribe, accesible de forma universal en Internet de modo compatible con las bases internacionales. Breast hamartoma: A report of 14 cases of an under-recognized and under-reported entity. Once found and confirmed as a hamartoma based on typical findings on mammography and/or ultrasound, the finding does not usually require follow-up imaging or surgery. A mammary hamartoma is a benign tumor found on the breast. Murat A, Ozdemir H, Yildirim H et-al. Hamartoma or fibroadenolipomas are rare benign tumours. Hamartomas of the breast. Mini pictorial essay. The entity is a well delimited mass composed of … 2019;15(4):864-870. doi: 10.4103/jcrt.JCRT_711_18. Breast hamartoma: ultrasound, elastosonographic, and mammographic features. Would you like email updates of new search results? Patient concerns: A 30-year-old man presented with a 1-month history of a painless mass in his right breast.. A simple surgical excision and removal of the entire Hamartoma of breast is normally sufficient treatment for big and symptomatic tumours, but a ‘wait and watch’ approach may be considered for asymptomatic hamartomas. Breast hamartomas, also known as fibroadenolipomas, are benign breast lesions. While these tumors can appear at any age, mammary hamartomas are typically found in … 2020 Oct;9(5):1278-1285. doi: 10.21037/gs-20-437. The US, SWE, and CEUS features of the lesions were analyzed. Diagnosis almost certain Diagnosis almost certain . Of 10,000 mammographies done over a 9-year period, 16 cases of hamartoma of the breast were diagnosed. All hamartomas appeared with a clear edge on CEUS, and none showed lesion diameter expansion after the injection of contrast. Sandra Hagen-Ansert. eCollection 2020 Dec. The latter has been speculated by some authors as a unique feature of VMCs [3, 4, 6, and 7]. Presentation. In instances where the hamartoma changes shape or increases in size, a biopsy and surgical removal of the mass may be performed. J Ultrasound Med 2004;23:1267–73. Mammary hamartoma is a rare benign lesion accounting for approximately 4.8% of all benign breast masses. PMID: 31436244.  |  Breast hamartoma is a relatively rare entity with an incidence of approximately 0.7% of benign breast masses. Clin Breast Cancer. Microscopical findings established the diagnosis of mammary hamartoma. eCollection 2015 Dec. Lower outer quadrant left breast mass (partially behind the nipple), which demonstrates a thin capsule and contains fat and breast parenchyma. Patients can present with a painless, asymptomatic and well-demarcated palpable mass in a breast hamartoma. 1999;19 Spec No : S11-26. Breast J 2001;7: 266–8. It will remain a unique feature of a person’s breast. The liver ultrasound findings have being described as hyperechoic, hypoechoic or mixed heterogenic echoic structures as well as comet-tail echoes. They may be discovered incidentally during imaging studies performed for other reasons. Surg Gynecol Obstet. INTRODUCTION. Incidence rate and treatment of breast hamartoma Research studies estimate that breast hamartoma has an incidence rate between 0.1% and 0.7 %, which is very low. Quantitative evaluation of peripheral tissue elasticity for ultrasound-detected breast lesions. Because it resembles normal breast tissue, the margins are often difficult to delineate. COVID-19 is an emerging, rapidly evolving situation. All components are found in normal breast tissue, which is why the lesions are considered hamartomatous. The peak time and increasing-start time were not significantly different between hamartomas and peripheral parenchyma (P = 0.321 and P = 0.215, respectively). The entity is a well delimited mass composed of dysplastic-appearing mammary tissue admixed to fat. 2. Clipboard, Search History, and several other advanced features are temporarily unavailable. Australas Radiol. Abnormal masses were detected on 12. The First Case of HER2+ Invasive Ductal Carcinoma Arising From a Breast Hamartoma and Literature Review. Hu H, Zhang M, Liu Y, Li XR, Liu G, Wang Z. Gland Surg. the breast: myoid hamartoma and capillary he-mangioma. Prezentuje se kao čvrsta tumorska masa u dojci, jasno ograničena. in 1971 2. Murugesan JR, Joglekar S, Valerio D, Bradley S, Clark D, Jibril JA. 2007;26 (4): 447-52. The term hamartoma was first coined by Arrigoni et al in 1971, 1 as a well circumscribed breast lesion with varying amounts of benign epithelial elements, fibrous tissue, and fat. The diagnosis of hamartoma is normally straightforward, due to an extremely characteristic imaging appearance. Nine women had masses with benign features. The Breast Journal, Volume 7, Number 1, January 2001, pp. : B37-9. NIH The lesion was initially described in 1968 by Hogeman and Osbterg, and Breast hamartomas most commonly are asymptomatic or present as a painless soft breast lump. Thus, this study aims to evaluate the efficiency of US-guided VABB in treating mammary hamartomas. Mammary Hamartoma is a rare, benign tumor of breast tissue, chiefly affecting middle-aged women during the time of menopause (perimenopausal period) The cause of Mammary Hamartoma is unknown, but the risk factors may include gender (women are affected more than men), the use of birth control pills, obesity, and one’s reproductive history Describe any significant finding using standardized terminology. 5. Use the morphological descriptors: mass, asymmetry, architectural distortion and … Balleyguier C, Ciolovan L, Ammari S, Canale S, Sethom S, Al Rouhbane R, Vielh P, Dromain C. Diagn Interv Imaging. Sonographic Evaluation of the Breast. 17. Breast Hamartoma Breast Adenohibernoma Breast Adenolipoma Breast Myoid Hamartoma Recent clinical studies Etiology Breast hamartoma: Ultrasound, elastosonographic, and contrast-enhanced ultrasound features. 2007;51 Spec No. To the authors' knowledge, the cytology of these lesions has not been well described. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Often referred to as a "breast within a breast" appearance. These tumours present as painless, mobile masses or it can be asymptomatic and detected incidentally on screening mammogram. A mammary hamartoma is a benign tumor found on the breast. Hamartoma is a well circumscribed breast lesion with varying amounts of benign epithelial elements, fibrous tissue, and fat. While breast hematomas can leave behind scarring that sometimes mimics breast cancer, they do not increase the chance that a person will develop breast cancer in the future. From the case: Breast hamartoma Ultrasound Table 1: Ultrasound features of breast hamartomas (n =36) Mammary hamartoma is a rare benign breast tumor, composed of ducts, lobules, fibers, and adipose tissue. 1. Dianne Georgian-Smith, Bret Kricun, Grace McKee, et al. Presazzi A, Di Giulio G, Calliada F (2015) Breast hamartoma: ultrasound, elastosonographic, and mammographic features. Hamartoma of the breast. Georgian-Smit h D, Kricun B, McKee G, et a l. T e mam-mary hamartoma: appreciation of additional imaging characteristics. Breast hamartoma The asymmetric lesion by imaging and the histologic finding of normal breast components supports this diagnosis. There were no significant differences in the maximum, mean, and minimum elasticity between the hamartomas and peripheral parenchyma (P = 0.885, 0.683, and 0.451, respectively). Because Philip JD, Richard JR, Gordon LL, et al. J Ultrasound. (March 2017) (Learn how and when to remove this template message) Frequently diagnosed in young women, a breast hamartoma that remains unchanged often requires regular monitoring, but no treatment. Breast hamartoma: Ultrasound, elastosonographic, and contrast-enhanced ultrasound features. Ultrasound Images & Clips Fibroadenolipoma or hamartoma with a fat containing well defined oval mass ... and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. Check for errors and try again. While these tumors can appear at any age, mammary hamartomas are typically found in women 35 years and older. Breast. Mosby Inc. (2006) ISBN:0323017460. Hamartomas slowly enlarge resulting in breast asymmetry and may cause compressive symptoms resulting in significant discomfort and lymphedema. However, there are increasing rates of breast hamartoma diagnoses due to the huge surge of usage of breast diagnostic procedures such as ultrasound and mammography. Breast hamartoma is a rare benign lesion composed of varying degrees of normal breast components including glandular, fatty, and fibrous tissue. of breast hamartoma: em phasis on comressibility. Two of these had findings considered classic for hamartoma. J. Ultrasound Med 2004. Breast hamartoma is an unusual, well‐circumscribed, tumor‐like mass entering into the differential diagnosis of benign breast disease. 2-7(6) 2. ADVERTISEMENT: Supporters see fewer/no ads. Mammary hamartoma has been classically considered as an underdiagnosed pathology, but with the increasing use of diagnostic procedures in breast tumours, the number of hamartomas has increased in the last years. Xiao Y, Yu Y, Niu L, Qian M, Deng Z, Qiu W, Zheng H. Clin Radiol. Describe the breast composition. Hamartoma in breast with ultrasound This section does not cite any sources. Breast hamartoma. Feder JM, De paredes ES, Hogge JP et-al. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Ultrasound is helpful in the evaluation of breast masses that are palpable or present as a mammographic abnormality [1, 2].The echo pattern of breast lesions is categorized as anechoic, hypoechoic, isoechoic, or hyperechoic with reference to the subcutaneous fat in the American College of Radiology (ACR) BI-RADS [].The echogenicity of fat in the breast is at the middle of the gray-scale spectrum. Hamartomas may become large and cause breast asymmetry. Int J Surg Case Rep. 2016; 22:1-4. Mammography images show a round, sometimes macrolobulated tumour with a smooth contour and a narrow halo (subtle, cir- They typically occur in women older than 35 years of age. Interventions: The mass was surgically resected. 17. 2017;67(1):69-80. doi: 10.3233/CH-170250. 1996 Nov;40(4):412-5. doi: 10.1111/j.1440-1673.1996.tb00437.x. Mammary Myoid Hamartoma J Med Ultrasound 2005 • Vol 13 • … The mean peak intensity and area under the curve of hamartomas were significantly higher than those of peripheral parenchyma (P = 0.013 and P = 0.011, respectively). Georgian-Smit h D, Kricun B, McKee G, et a l. T e mam-mary hamartoma: appreciation of additional imaging characteristics. Dianne Georgian-Smith, Bret Kricun, Grace McKee, et al. Many authors consider this entity to be underdiagnosed. Unusual breast lesions: radiologic-pathologic correlation. On T1- and T2-weighted sequences, the mass generally exhibits heterogeneous signal intensity, reflecting the presence of glandular and adipose tissue components, and a thin capsule. Although previously reported as "fibrolipoma" or "fibroadenolipoma", they were initially termed "hamartomas" by M G Arrigoni et al. It is often underdiagnosed and therefore is underreported mostly due to lack of awareness of the characteristic clinical and histological features. Case contributed by Dr Mark Holland . The diagnosis of hamartoma is normally straightforward, due to an extremely characteristic imaging appearance. Clinical information Palpable mass. Adenolipoma (variant) Choristoma; Fibroadenolipoma; Muscular or myoid hamartoma (variant) Diagnostic Criteria. Hamartomas, although benign, have the potential for malignant transformation and should be treated or monitored closely when encountered especially if microcalcifications or speculated lesions are seen within the … Conclusions: Of the 36 breast hamartomas, 30 had heterogeneous echogenicity (83.3%, 30/36) and 28 were without changed posterior echogenicity (77.8%, 28/36). Hamartom dojke su benigna oboljenja koja se javljaju u 0,7-4,8% slučajeva. Although In this retrospective analysis, we included 36 breast hamartomas of 36 female patients who had been scheduled for US-guided vacuum-assisted biopsy (VAB) or surgical excision between May 2013 and October 2016. J Ultrasound … Mammary Hamartoma is a rare, benign tumor of breast tissue, chiefly affecting middle-aged women during the time of menopause (perimenopausal period) The cause of Mammary Hamartoma is unknown, but the risk factors may include gender (women are affected more than men), the use of birth control pills, obesity, and one’s reproductive history Subjects and methods: Hamartomas are tumours formed by a cumuli of various epithelial elements, accounting for less than 5% of benign breast masses. Epub 2013 Apr 22. Mammary hamartoma: is ultrasound-guided vacuum-assisted breast biopsy sufficient for its treatment? The Mammary Hamartoma. So if your radiologist says hamartoma, take a relaxing breath – it’s just a benign growth of normal breast tissue. Breast hamartomas, also known as fibroadenolipomas, are benign breast lesions. Breast hamartoma classically represented by a well circumscribed mass surrounded by a thin capsule. Unsourced material may be challenged and removed. It is underdiagnosed and thus underreported. Yonsei Med J 2003;44:847–54. 6 Digital Breast Tomosynthesis in the Analysis of Fat-containing Lesions Hamartomas represent benign proliferation of fibrous, glandular, and fatty tissue (hence fibro-adeno-lipoma) surrounded by a thin capsule of connective tissue. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Hamartoma (Fibroadenolipoma) Australas Radiol. Jones MW, Norris HJ, Wargotz ES. American Journal of Clinical Pathology, 103 , … Age: 35 Gender: Female fat component appears radiolucent, soft tissue component appears radiodense, 1. Keywords: Breast hamartoma is an uncommon breast tumor that accounts for approximately 4.8% of all benign breast masses. NLM Lesions are soft and easy to compress. Diagnosis: Ultrasound imaging and mammography revealed a lesion, approximately 2.0 cm × 2.0 cm in size, in the right breast, which was considered to be either a lipomyoma or an adenoma fibrosum. J Ultrasound Med 26: 447-452. Palpable left breast mass. Radiographics. {"url":"/signup-modal-props.json?lang=us\u0026email="}, inferomedial superolateral oblique projection, breast ultrasound features: benign vs malignant, invasive ductal carcinoma not otherwise specified, intracystic papillary carcinoma of the breast, breast implant-associated anaplastic large cell lymphoma, columnar alteration with prominent apical snouts and secretions (CAPSS), lobular intraepithelial neoplasia (LIN III), pseudoangiomatous stromal hyperplasia (PASH), pleomorphic microcalcifications within breast, punctate microcalcification within breast, egg shell/rim calcification within breast, lobular calcification within breast tissue, intraductal calcification within breast tissue, skin (dermal) calcification in / around breast tissue, suture calcification within breast tissue, stromal calcification within breast tissue, artifactual calcification from outside the breast, granulomatosis with polyangiitis: breast manifestations, differential diagnosis of dilated ducts on breast imaging, hereditary breast and ovarian cancer syndrome, well-circumscribed, round or oval mass surrounded by a thin capsule, comprising of both fat and soft-tissue internal densities, i.e. Results: Compared with the peripheral parenchyma, 10 hamartomas (27.8%) showed rapid perfusion mode, 23 (63.9%) showed equal perfusion mode, 24 (66.7%) showed equal enhancement, and 9 (25.0%) showed hyperenhancement. Breast hamartoma is an uncommon breast tumor that accounts for approximately 4.8% of all benign breast masses and that contains lobular breast tissue involving various fibrous, fibrocystic and adipose tissues ().However, with increasing social awareness and widespread breast cancer screening, hamartomas are being routinely diagnosed with greater frequency. Breast hamartoma: Ultrasound, elastosonographic, and contrast-enhanced ultrasound features Gang Liu 1, Zhi Li Wang 2, Meng Ke Zhang 2, Yan He 2, Yuan Liu 2 1 Department of Radiology, Chinese People's Liberation Army General Hospital, Beijing, China 2 Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China Arrigoni MG, Dockerty MB, Judd ES. Breast hamartoma classically represented by a well circumscribed mass surrounded by a thin capsule. Patient Data. Yonsei Med J 2003;44:847–54. Breast and Axilla; 5.1 Benign ... Bookmark . Fibroadenomas are the most commonly diagnosed, solid, benign tumour in young women. However, as more women participate in breast cancer, and at 2015 Jul 26;18(4):373-7. doi: 10.1007/s40477-015-0175-0. Posteriorly, she received 25 radiotherapy fractions, without major adverse effects. Sonographic features of breast hamartomas. Hamartoma in breast with ultrasound. Hamartoma of the breast, an underrecognized breast lesion: A clinicopathologic and radiographic study of 25 cases. 1991;173 (1): 54-6. Appreciation of Additional Imaging Characteristics. Ultrasound (US)-guided vacuum-assisted breast biopsy (VABB) has been reported sufficiently safe in treating many breast benign tumors but remained undefined in mammary hamartoma for its usual underdiagnosis in US. Australas Radiol. Benign tumours such as fibroadenomas are rela-tively common. The mammograms of 17 women with pathologically proved breast hamartomas were reviewed. Please enable it to take advantage of the complete set of features! 9. Macroscopically, hamartomas are slightly larger and softer than common adenofibromas and are well-defined, whitish, pinkish and fleshy, with islands of yellow fat tissue. If Ultrasound is performed, mention if the US is targeted to a specific location or supplementary screening. In the 36 patients, US, CEUS, and SWE were performed, and the pathology results from surgical or VAB were obtained. Please help improve this section by adding citations to reliable sources. A breast hamartoma, also known as a fibroadenolipoma, is a solid, benign mass that forms in the soft tissue of the breast. The identification and treatment of mammary hamartoma. Epub 2016 Jun 24. It may be seen as a well-circumscribed, solid lesion without any intralesional microcalcification. They are typified by a "breast within a breast" appearance on mammogram. The patient is well 12 months later, without tumor recurrence. Sharply circumscribed breast mass composed of normal or fibrocystic appearing tissue ; Alternate/Historical Names. Request PDF | Breast hamartoma: ultrasound, elastosonographic, and mammographic features. Lesions can be any size but are typically large at presentation. Breast; contrast-enhanced ultrasound; elasticity; hamartoma.  |  This site needs JavaScript to work properly. Breast elastography: the technical process and its applications. -. They present clinically as a soft, mobile nodular lesions and are generally asymptomatic. Also, since the radiologist was sure the lesion was biopsied, the possibility that the lesion was missed is excluded. 2006 Oct;7(4):345-6. doi: 10.3816/CBC.2006.n.050. Radiol Case Rep. 2020 Oct 23;15(12):2714-2717. doi: 10.1016/j.radcr.2020.10.015. Ravakhah K, Javadi N, Simms R. Hamartoma of the breast in a man: first case report. Aims: Surg Gynecol Obstet. 3. Breast hamartomas, also known as fibroadenolipomas, ... Ultrasound. Applying multiple ultrasound techniques would be helpful for their diagnosis. J. Ultrasound … Myoid hamar- tomas of the breast The Breast Journal, Volume 7, Number 1, January 2001, pp. -, 7. 10. Please help improve this section by adding citations to reliable sources. She was recently controlled with breast ultrasound … Breast imaging, case review. Because it resembles normal breast tissue, the margins are often difficult to delineate. Breast hamartoma: Ultrasound, elastosonographic, and contrast-enhanced ultrasound features J Cancer Res Ther. 6. Bhatia M, Ravikumar R, Maurya VK, Rai R. “Breast within a breast” sign: Mammary hamartoma. Hamartomas have typical features on US, SWE, and CEUS. J Ultrasound Med 1996;15:637–44. Hamartomas, also known as fibroadenolipomas, are rare, benign formations that can develop in various organs, including the breast. The presence of a typical breast hamartoma with no suspicious features on mammography or ultrasound is not an indication for MRI, although hamartomas may be discovered incidentally on MRI. Often referred to as a "breast within a breast" appearance. Xiang LH, Yao MH, Xu G, Pu H, Liu H, Fang Y, Wu R. Clin Hemorheol Microcirc. We describe a mammary hamartoma in a man; this is … Aims: To review 25 cases of breast hamartoma and discuss the pathological criteria, and the usefulness of imaging modalities, fine needle aspiration cytology (FNAC), and needle core biopsy in the diagnosis. In rare cases, a differential diagnosis may include other well-defined lesions: Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 2013 May;94(5):503-13. doi: 10.1016/j.diii.2013.02.006. We report the case of a 50-year-old patient, who was explored in mammography, ultrasound and CT for a large painful mass of the right breast that had been evolving for 30 years and gradually increasing in size. To present the ultrasound (US), shear-wave elastography (SWE), and contrast-enhanced ultrasonography (CEUS) features of breast hamartomas. Breast hamartoma: Unusual radiological presentation.  |  Internal echotexture is most often mixed with both hyperechoic and hypoechoic components 3. 2-7(6) 2. J Breast Health 9: 186-190. Ultrasonography of breast hamartomas. Mammography, Ultrasound, Hamartoma, Togo 1. We describe a mammary hamartoma in a man; this is the fourth case being reported in the literature.. Breast hamartoma (BH) is a relatively rare benign tumour and accounts for 4.8% of benign breast masses in women [1,2]. Liu G, Wang ZL, Zhang MK, He Y, Liu Y J Cancer Res Ther 2019;15(4):864-870. doi: 10.4103/jcrt.JCRT_711_18. J Ultrasound Med. Sharply circumscribed mass. J Ultrasound … Terapija izbora je hirurško otklanjanje. Rationale: Mammary hamartoma is a rare benign breast tumor, composed of ducts, lobules, fibers, and adipose tissue. In three cases, the … Conclusions: Mammary hamartoma has been considered as … -, 2. Giant breast hamartoma in a 41-year-old female: A case report and literature review 12 October 2015 | Oncology Letters, Vol. Of 10,000 mammographies done over a 9-year period, 16 cases of hamartoma of the breast were diagnosed. These are lesions co[1] n-[1] [2 USA.gov. Black J, Metcalf C, Wylie EJ. Appreciation of Additional Imaging Characteristics. 1996;40 (4): 412-5. Conant EF, Brennecke CM. Mini pictorial essay 3 , 4 All breast hamartomas had an oval shape and a circumscribed margin. -, malignant papillary lesions of the breast. 10, No. 2016 Sep;71(9):896-904. doi: 10.1016/j.crad.2016.06.104. DOI: 10.1007/s40477-015-0175-0 Corpus ID: 9762154. LOQ mass was a large breast hamartoma (Figures 7 & Figure 8). Breast hamartoma is a well-demarcated mostly encapsulated nodule representing as a mass composed of haphazardly arranged breast tissue components.