RARE CASE REPORT ON GIANT LIPOMA OF BREAST- A DIAGNOSTIC CONCUNDRUM

Abstract

Introduction: Lipomas are benign, encapsulated tumors arising from mature adipose tissue. They are usually small and slow growing.1 Though lipomas can arise anywhere in the body, breast still remains an uncommon site for occurrence of lipomas.2 Lipoma of breast is a rare site with incidence of approximately 16% of all mesenchymal tumors.3 Presentation of case: We present a case of a 52 year old woman who presented with a right breast lump which on ultrasound was reported BIRADS IV that is suspicious for malignancy. FNAC and histopathology confirmed it to be a lipoma and spared the patient from both psychological burden and surgical trauma. Discussion: Breast lipomas are rare. The smaller ones are missed on mammography due to similar texture to normal breast and larger ones raise suspicion of malignancy. Thus they need to be meticulously evaluated. Conclusion: The diagnosis of breast lipoma is challenging but can be confirmed by FNAC and histopathological examination. Complete excision with capsule is essential to avoid recurrence, thus saving patient from psychological and surgical consequences. Keywords: Giant lipoma, Breast, Fine Needle Aspiration Cytology