Journal of Cytology
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CASE REPORT
Year : 2005  |  Volume : 22  |  Issue : 1  |  Page : 42-43

A case of fibroadenoma with spontaneous infarction


1 Professor, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006, India
2 Associate Professor, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006, India
3 Senior Resident, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006, India

Correspondence Address:
K R Iyengar
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006
India
S Kumar
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006
India
S Rajagopal
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006
India
S K Roy
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry - 605 006
India
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Source of Support: None, Conflict of Interest: None


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Spontaneous infarction of fibroadenoma is a rare complication. Infarction following fine needle aspiration has been reported in the literature. It is also frequently associated with pregnancy and lactation. It is essential to distinguish spontaneous infarction of fibroadenoma from other malignant and inflammatory conditions on fine needle aspirate smears. In this report we present the case of a fourteen year old girl referred for FNAC of a breast lump. Smears showed acellular necrotic material and many degenerated and viable clumps of cells. Most of the cells were singly dispersed in the background. FNAC report was inconclusive and the lump was excised. Histological diagnosis of fibroadenoma with infarction was established. Spontaneous infarction of fibroadenoma should be distinguished from carcinoma and other inflammatory conditions on FNAC. Cytopathologists should be aware of this entity to avoid an erroneous diagnosis of carcinoma or inflammatory lesions of breast.


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