Breast parenchyma leiomyoma: A diagnostic challenge to treat

Breast leiomyoma is an infrequent entity and accounts for less than 1% of all breast tumors. The disease may affect both sexes with a preference for middle-aged women and its etiology still remains unclear. The nipple and subareolar area harbor the neoplasm in the majority of cases, however the intraparenchymal location, especially in older women has been noted. Histologically, this mesenchymal tumor derives from smooth muscle cells metaplasia or from myofibroblastic cells of the subareolar area. Triple assessment makes up the basic diagnostic tool. Surgical resection in macroscopic clear margins contributes not only to diagnosis but also rules out malignancy. Herein, we present our case of intramammary leiomyoma with a parallel review of world literature.