Breast leiomyomas are extremely rare and commonly seen in the nipple-areolar complex due to the presence of smooth muscle. Identification of this rare benign tumour is based on its location and the presence of spindle cells on histology. We report a case of a breast leiomyoma in a female patient who had a six-year history of a unilateral breast mass. Breast ultrasound and mammography demonstrated a sub-areola mass and an ultrasound-guided core biopsy revealed a benign spindle cell neoplasm with smooth muscle differentiation. The lesion was excised and final histology confirmed a leiomyoma with clear margins.

Foreign bodies (FBs) are routinely introduced into the breast for surgical intervention. A bizarre FB of the breast may result from physical trauma secondary to abuse. We report on a 34-year-old female who presented with a metal FB in the right breast and a suspicious history, which raised concern for gender-based violence (GBV). Traumatic breast injuries are relatively rare. A high index of suspicion is important when dealing with unusual breast injuries in order to investigate these appropriately and rule out abuse.