A RARE CASE OF GIANT BREAST LIPOMA

Lipomas of the breast are usually small but a giant lipoma of the breast is uncommon and only a few references are found in the literature. They may mimic malignant breast tumors. A 42-year-old woman presented with a 1- year history of a slowly enlarging right breast mass. Clinical examination revealed a palpable smooth, soft-firm, well circumscribed mass of size 15x10 cm in the right breast. FNAC showed few clusters of mature adipocytes and scant fibroblasts. On ultrasonography, the mass was homogenously hypoechoic with smooth margins. Preoperatively a diagnosis of benign neoplasm of the breast, probably a giant lipoma was considered. Surgical excision of the mass was done. Histological examination confirmed it as a lipoma and no evidence of atypia or malignancy was found. The diagnosis of a breast lipoma is not usually easy but can be made if the condition is borne in mind and a careful history and clinical examination is carried out.