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Related Experiment Video

Updated: Jul 12, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Usual breast lump with unusual features.

Shruti Gupta1, Pawan Kumar1, Niraj Kumari1

  • 1Department of Pathology, All India Institute of Medical Sciences, Raebareli, India.

Cytopathology : Official Journal of the British Society for Clinical Cytology
|October 24, 2023
PubMed
Summary

This study highlights an uncommon breast lump finding: granulomatous mastitis with collagenous spherulosis. Fine needle aspiration cytology (FNAC) aids in diagnosing this rare condition in elderly women.

Keywords:
breast lumpcollagenous spherulosisgranulomatous

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Area of Science:

  • Pathology
  • Cytopathology
  • Oncology

Background:

  • Granulomatous mastitis and collagenous spherulosis are rare co-existing findings in breast lumps.
  • Palpable breast lumps in elderly females necessitate prompt evaluation due to potential malignancy.
  • Fine needle aspiration cytology (FNAC) is a valuable diagnostic tool for breast lesions.

Purpose of the Study:

  • To report an uncommon case of co-existing granulomatous mastitis and collagenous spherulosis in a breast lump.
  • To emphasize the importance of cytomorphological awareness for accurate diagnosis.
  • To demonstrate the utility of FNAC in evaluating breast lumps in the elderly.

Main Methods:

  • A case study of an elderly female with a firm breast lump.
  • Fine needle aspiration cytology (FNAC) was performed on the breast lump.
  • Cytological smears were analyzed for characteristic features.

Main Results:

  • FNAC smears revealed ill-formed granulomas and inflammatory cells, indicative of granulomatous mastitis.
  • Homogeneous hyaline stromal globular elements were observed, consistent with collagenous spherulosis.
  • Benign ductal epithelial and myoepithelial cells were present, intermingled with pathological findings.

Conclusions:

  • The co-existence of granulomatous mastitis and collagenous spherulosis is an uncommon cytological finding.
  • Awareness of specific cytomorphological features is crucial for accurate diagnosis.
  • FNAC is an effective method for the rapid and reliable evaluation of breast lumps, including rare entities.