Isabela Gil, Filipa Costa, Diogo Cardoso and Zacharoula Sidiropoulou*
Department of General Surgery, Hospital de São Francisco Xavier, Lisboa, PortugalFulltext PDF
Lipomas are among the most common mesenchymal tumors and are usually benign, well circumscribed, and covered by a thin capsule, appearing in almost every region of the body with a prevalence of 2.1 per 1000 people. Twenty percent are located in the chest wall. It is difficult to determinate the exact incidence of breast lipoma in the literature as this lesion is paradoxically described as both common and uncommon. An epigastric hernia is currently defined as a ventral hernia which protrudes through the linea Alba, between the xiphoid process superiorly and the umbilicus inferiorly. Epigastric hernias are usually asymptomatic, being found on routine examination. When symptomatic the main complains are: mild epigastric pain exacerbated by standing, large meals or coughing, being relieved in a supine position. On clinical examination, we can palpate a soft and tender mass, reducible, in the midline, which can protrude by any increase in intra-abdominal pressure (such as Valsalva maneuver or standing). To confirm the diagnosis, an ultrasound or a CT scan is the desired techniques. In this paper authors present the first ever case of an epigastric hernia in the breast (Lucinda´s hernia) presented like a breast lump.
Gil I, Costa F, Cardoso D, Sidiropoulou Z. Just Another Simple Breast Lump or What Else Can Be Found in theBreast? Clin Surg. 2019; 4: 2345.