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Case Report
 
Cholesterol granuloma of the breast suspected as breast carcinoma
Takaaki Fujii1, Reina Yajima1, Hiroki Morita1, Satoru Yamaguchi1, Soichi Tsutsumi1, Takayuki Asao1, Hiroyuki Kuwano1
1Department of General Surgical Science, Graduate School of Medicine, Gunma University, Gunma, Japan.

doi:10.5348/ijcri-2013-12-420-CR-14

Address correspondence to:
Takaaki Fujii
MD, PhD, Department of General Surgical Science
Graduate School of Medicine, Gunma University, 3-39-22 Showa-machi
Maebashi, Gunma 371-8511
JAPAN
Phone: +81-027-220-8224
Fax: +81-027-220-8230
Email: ftakaaki@med.gunma-u.ac.jp

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How to cite this article
Fujii T, Yajima R, Morita H, Yamaguchi S, Tsutsumi S, Asao T, Kuwano H. Cholesterol granuloma of the breast suspected as breast carcinoma. International Journal of Case Reports and Images 2013;4(12):723–726.


Abstract
Introduction: Cholesterol granuloma of the breast is a rare benign condition which is difficult to differentiate from breast cancer.
Case Report: We herein report the case of a 56-year-old Japanese asymptomatic female who, on a computed tomography examination for sigmoid colon cancer, was found to have a palpable nodule in the upper external quadrant of the left breast. Breast carcinoma could not be ruled out on the basis of clinical and radiological findings, but excisional biopsy revealed cholesterol granuloma. A histological examination implied that this case of cholesterol granuloma might have been related with mammary duct ectasia.
Conclusion: Although cholesterol granuloma is a rare disorder in the breast, this case indicated that a better awareness of this benign breast disease is important for avoiding misdiagnosis and unnecessary surgery.

Keywords: Cholesterol granuloma, Breast carcinoma, Ductal ectasia


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Author Contributions
Takaaki Fujii – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Reina Yajima – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hiroki Morita – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Satoru Yamaguchi – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Soichi Tsutsumi – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Takayuki Asao – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Hiroyuki Kuwano – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Takaaki Fujii et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)