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XANTHOMA OF THE BREAST In a series of nine hundred (circa ...

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Downloaded from cancerres.aacrjournals.org on December 28, 2013. © 1932<br />

American Association for Cancer Research.<br />

<strong>XANTHOMA</strong> <strong>OF</strong> <strong>THE</strong> <strong>BREAST</strong> nOI<br />

radical mastectomy performed. The section showed "large polyhedral<br />

cells apparently lying in alveoli. These cells were not<br />

quite like the usual type <strong>of</strong> carcinoma, being even larger than the<br />

unshrunk cells seen in fresh sections; but the appearance was not<br />

recognizable as anything else, and the diagnosis was taken to be<br />

confirmed." The case <strong>of</strong> traumatic fat necrosis (Case 6) included<br />

in the present study was diagnosed by frozen section.<br />

SUMMARY<br />

Xanthomas in general have been discussed, and tumors <strong>of</strong> the<br />

breast containing xanthoma cells have been classified as follows:<br />

A. Primary xanthoma: a very rare tumor composed wholly <strong>of</strong><br />

xanthoma cells and arising as a local manifestation <strong>of</strong> the<br />

syndrome <strong>of</strong> xanthomatosis.<br />

B. Secondary xanthomatous degeneration, frequently encountered in<br />

(1) true neoplasms, (2) inflammatory processes, and (3)<br />

traumatic fat necrosis.<br />

Three cases <strong>of</strong> primary xanthoma <strong>of</strong> the breast, and illustrative<br />

cases <strong>of</strong> secondary xanthomatous degeneration occurring in fibroadenoma,<br />

in chronic breast abscess, and in traumatic fat necrosis in<br />

the breast have been described.<br />

BIBLIOGRAPHY<br />

ARNING, E., AND LIPPMANN, A.: Essentielle Cholesterinamie mit Xanthombildung,<br />

Ztschr. f. klin. Med. 89: 107, 1920.<br />

ASCH<strong>OF</strong>F, L.: Pathologische Anatomie, Gustav Fischer, Jena, 1923, Vol.<br />

2, p. 991.<br />

BORST, MAX: Allgemeine Pathologic der malignen Geschwlilste, S. Hirzel,<br />

Leipzig, 1924, p. 211.<br />

BRODERS, A. C.: Benign xanthic extraperiosteal tumor <strong>of</strong> the extremities<br />

containing foreign body giant cells, Ann. Surg. 70: 574, 1919.<br />

CHALIPSKY, A. L., AND VEGER, A. M.: Tumorartige Xanthomatosis mit<br />

Storungen seitens des endokrinen und des Nerven-Systems, Dermat.<br />

VVchnschr. 89: 1972, 1929.<br />

CHEATLE, G. L., AND CUTLER, M.: Tumors <strong>of</strong> the Breast, J. P. Lippincott<br />

Co., Philadelphia, 1932, p. 307.<br />

CHAUFFARD, 0., AND LAROCHE, G.: Pathogenie du xanthelasma, Semaine<br />

med. 30: 241, 1910.<br />

CHIARI, H.: Die generalisierte Xanthornatose von Typus Schuller-Christian,<br />

Ergebn. d. aUg. Path. und path. Anat. 24: 396, 1931.<br />

CHRISTIAN, H. A.: Defects in Membranous Bones, Exophthalmos and<br />

Diabetes <strong>In</strong>sipidus: Contributions to Medical and Biological Research,<br />

Paul B. Hoeber & Co., New York, Vol. 1, p. 390, 1919.

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