Leiomyoma of the breast parenchyma

a case report and review of the literature

Authors

  • Rodrigo Gregório Brandão Universidade Federal de São Paulo
  • Simone Elias Universidade Federal de São Paulo
  • Afonso Celso Pinto Nazário Universidade Federal de São Paulo
  • Maria do Carmo Guedes Alcoforado Assunção Universidade Federal de São Paulo
  • Camilla Cirone Esposito Papa Universidade Federal de São Paulo
  • Gil Facina Universidade Federal de São Paulo

Keywords:

Breast, Ultrasonography, Leiomyoma, Breast neoplasms

Abstract

INTRODUCTION: Benign tumors are often seen in breast screening examinations. However, the differential diagnosis is not always simple because of radiological similarity between the different benign lesions. CASE REPORT: We present a rare case report of leiomyoma of the breast parenchyma in a 68-year-old asymptomatic patient. The mammographic and ultrasonographic findings were similar to those observedin benign lesions. CONCLUSION: The histopathological diagnosis requires careful differentiation from lesions that have smooth muscle proliferation, especially leiomyosarcoma. The most commonly performed treatment is resection of the lesion with free margins. Although breast leiomyoma is rare, it should be considered among the differential diagnoses for breast nodules of benign appearance. Resection with safety margins proved to be the only treatment needed.

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Author Biographies

Rodrigo Gregório Brandão, Universidade Federal de São Paulo

Medical Doctor and Doctoral Student, Discipline of Mastology, Department of Gynecology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Simone Elias, Universidade Federal de São Paulo

Medical Doctor, Doctorate in Medicine and Assistant Professor, Discipline of Mastology, Department of Gynecology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Afonso Celso Pinto Nazário, Universidade Federal de São Paulo

Medical Doctor, Doctorate in Medicine and Full Professor of the Department of Gynecology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Maria do Carmo Guedes Alcoforado Assunção, Universidade Federal de São Paulo

Medical Doctor, Doctorate in Medicine and Head of the Locus Laboratory, Department of Pathology, Universidade de São Paulo (USP), São Paulo (SP), Brazil.

Camilla Cirone Esposito Papa, Universidade Federal de São Paulo

Undergraduate Student, Faculdade Santa Marcelina (FASM), São Paulo (SP), Brazil.

Gil Facina, Universidade Federal de São Paulo

Medical Doctor, Doctorate in Medicine, Full Professor and Head of the Discipline of Mastology, Department of Gynecology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

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Published

2018-04-05

How to Cite

1.
Brandão RG, Elias S, Nazário ACP, Assunção M do CGA, Papa CCE, Facina G. Leiomyoma of the breast parenchyma: a case report and review of the literature. Sao Paulo Med J [Internet]. 2018 Apr. 5 [cited 2025 Mar. 14];136(2):177-81. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1354

Issue

Vol. 136 No. 2 (2018)

Section

Case Report

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