Hamartomas are uncommon benign breast neoplasms. We report the first case, to our knowledge, of invasive lobular carcinoma arising in a breast hamartoma. This case illustrates the importance of careful interpretation of the clinical and mammographic findings. A more aggressive approach toward the management of breast hamartomas is not justified when clinical and mammographic findings are consistent with classic hamartomas.

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A patient with hairy cell leukemia who developed mediastinal mass and fever is described. A CT-guided aspiration of the mass yielded Salmonella tiphymurium. Granulocyte response to infection was intact and could explain the favorable course of this unusual Salmonella infection. Although several reports deal with salmonellosis as a complication of immunodeficiency states, this type of infection is of rare occurrence in hairy cell leukemia.

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