Adenolipoma of the breast is an uncommon mammary lesion classified as a hamartomatous lesion,
presenting as a soft, mobile and well-defined mass. The typical mammographic findings is of a wellcircumscribed
lesion containing both fat and soft tissue surrounded by a capsule. Microscopically,
adenolipoma exhibits a hamartomatous mixture of ducts and lobules intermingled with adipose and
fibroconnective tissue. Enucleation is the standard treatment and recurrences are rare. We report
a 29-year-old woman with a mobile, tender and firm mass, 6 x 5 cm, in the upper inner quadrant
of the right breast of 1 month duration. Mediolateral mammography images demonstrated a welldefined
mass with mixed granular and fat density. Histopathology of the excised mass revealed
well-circumscribed lobules of ducts and glandular structures haphazardly embedded in mature
fatty tissue. Breast hamartoma should be differentiated from other benign lesions of the breast.
Awareness among radiologists and pathologists of this benign lesion would help avoid an incorrect
diagnosis and unnecessary intervention.