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Exuberant Smooth Muscle Cells in Fibroadenoma of the Breast

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Á¤ÀºÈñ ( Jeong Eun-Hui ) 
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±èÁ¶Çå ( Kim Jo-Heon ) 
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ÀÌÁö½Å ( Lee Ji-Shin ) 
Àü³²´ëÇб³ ÀÇ°ú´ëÇÐ º´¸®Çб³½Ç

Abstract


Smooth muscle cell metaplasia is an extremely rare form of stromal differentiation in fibroadenomas. We describe a case of fibroadenoma with exuberant smooth muscle cells in a 72-year-old woman. The mass was located in the upper central portion of the left breast. It was well circumscribed and its greatest dimension was 3 cm. Histologically, the glandular elements resembled the appearance of fibroadenoma, but the stromal elements were composed of spindle cell bundles with abundant eosinophilic cytoplasm and elongated cigar-shaped nuclei. Neither mitotic activity nor cellular atypia was seen. The stromal cells were immunohistochemically positive for smooth muscle actin, calponin, desmin, and estrogen receptor-¥â, but negative for CD34, S-100 protein, p63, CD10, estrogen receptor-¥á, progesterone receptor and cytokeratin. These results proved that the stromal cells showed features of smooth muscle cells.

Å°¿öµå

Breast; Fibroadenoma; Muscle cells; Metaplasia

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