Breast Shwannoma - Time to explore alternative management strategy?

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

“…Macroscopically, they are well-circumscribed, encapsulated, white/tan, and multilobulated [114]. Similar to radiographically, they are microscopically diverse and related to cystic, hemorrhagic, and degenerative areas.…”

“…Most peripheral schwannomas affect the head, neck, and extremities; mammary schwannomas account for only 2.6% of schwannomas [103]. A 2011 report identified only 27 cases in worldwide literature [103] and in our literature search, we identified a further 17 cases in women [104][105][106][107][108][109][110][111][112][113][114][115][116][117] and 2 male cases [118,119]. Sporadic cases account for 90% of cases [84], whereas the rest are syndromic and associated with neurofibromatosis type 2 or familial schwannomatosis [84].…”

“…There have been promising results for watch and wait approaches [125] and gamma knife surgery [126]. Vacuum-assisted excision has been proposed to minimize intervention for breast schwannomas but has not been studied [114]. These all may be upcoming options, though less relevant in breast tumors given the low morbidity of lumpectomies.…”