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Fibroadenoma (Low Power view)
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Fibroadenoma (Low Power view)

This low power image shows the sharply demarcated border of a fibroadenoma (black arrows).
The very pale stroma (s) compresses large ductal structures (green arrows) into "Chinese characters".
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by: UCHC )
Fibroadenoma
Etiology

Unknown
Pathogenesis

Stromal component of the lesion is clonal
Derives from intralobular stroma
May arise within individual nodules and apparently "coalesce",
Epidemiology

Most common benign neoplasm in the breast
More frequent in women under 30
General Gross Description

Gray-white, spherical nodule that is rubbery and mobile on palpation
Neoplasm can be "shelled out" of the surrounding breast tissue
In teenagers may reach enormous size (10-15 cms) so called juvenile fibroadenoma
General Microscopic Description

Consists of a proliferation of both ducts and stroma
Stroma contains numerous fibroblasts and palely eosinophilic cytoplasm
Broad birefringent collagen bands are absent until lesion involutes
Glandular spaces are lined by typical duct epithelium and may be compressed by fibrous proliferation
Clinical Correlation

Benign
Regress with menopause
Treatment by resection
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 1097-8.
Fibroadenoma
Synopsis by: Melinda Sanders M.D. (T04000M90100)[318]
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