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Open Access Highly Accessed Case Report

Infarcted fibroadenoma of the breast: report of two new cases with review of the literature

Faruk Skenderi1, Fikreta Krakonja2 and Semir Vranic1*

Author affiliations

1 Department of Pathology, Clinical Center of the University of Sarajevo, Bolnička 25, Sarajevo, BA-71000, Bosnia and Herzegovina

2 Department of Radiology, Clinical Center of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina

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Citation and License

Diagnostic Pathology 2013, 8:38  doi:10.1186/1746-1596-8-38

Published: 27 February 2013

Abstract

Introduction

Fibroadenomas are the most common benign breast tumors in young women. Infarction is rarely observed in fibroadenomas and when present, it is usually associated with pregnancy or lactation. Infarction can exceptionally occur as a complication of previous fine-needle aspiration biopsy or during lactation and pregnancy.

Materials and methods

Retrospective review of 650 cases of fibroadenomas diagnosed at our institution during the 8-years period identified two cases of fibroadenomas with infarction (rate ~0.3%).

Results

Two partially infarcted fibroadenomas were diagnosed on core biopsy and frozen section in an adolescent girl (13 years old) and in a young woman (25 years old), respectively. No preceding fine-needle aspiration biopsy was performed in these cases, nor were the patients pregnant or lactating at the time of the diagnosis.

Conclusion

Spontaneous infarction within fibroadenoma is a rare phenomenon in younger patients. The presence of necrosis on core biopsy or frozen section should be cautiously interpreted and is not a sign of malignancy.

Virtual Slides

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1556060549847356 webcite

Keywords:
Breast tumors; Benign tumors; Fibroadenoma; Infarction; Necrosis