Adult cystic lymphangioma in the inner quadrant of the breast—Rare location for a rare disease: A case report

Abstract

HighlightsAdult cystic breast lymphangioma is an extremely rare condition, especially in the inner upper quadrant of the breast.Cystic lymphangiomas of the breast are benign lymphatic malformations.Cystic lymphangiomas of the breast are typically located in the upper outer quadrant, the tail of Spence, and subareolar area.Surgical excision with histopathology examination provides definitive diagnosis of cystic lymphangioma.Complete surgical excision remains the most effective treatment modality for adult cystic lymphangioma of the breast.

Concomitant breast and axillary lymphangioma in an adult

“…[ 3 , 4 ] Lymphangioma of the breast is very rare in adults, and a few cases have been reported. [ 5 ] Breast lymphangiomas are mainly located in the subareolar and upper, outer quadrant of the breast. [ 5 , 6 ] Complete surgical excision is the preferred treatment.…”

Cystic Lymphangioma of the Breast: A Case Report in an Adult Woman

“…Less than 20 cases had been reported in the last 40 years [6][7][8][9]. Some authors consider lymphangioma as a true neoplasm that exert local aggressive behavior, but overall it is considered as a benign disease [7].…”

“…Considering the latter described two opinions, fluid will accumulate in this abnormal lymphatic tissue, resulting in its cystic appearance [6][7][8]. Lymphangioma is considered mostly as a benign, slow growing disease that usually has low malignancy potential, however, malignant transformation into squamous cell carcinoma after long standing lymphangioma circumscriptum has been reported [9]. cyst, inflammation or trauma.…”

“…Such localized lesions in the breast are usually located in the upper outer quadrant, tail of Spence or sub-areolar space [5]. However, one case report documented a rare histologically proven cystic lymphangioma in the upper inner quadrant of the breast [9]. Secondary lymphangioma developing post mastectomy and irradiation of the chest wall has been described [10,11].…”

“…However, these specimens are rarely cellular and FNA is usually not diagnostic, since it cannot evaluate the architecture of these lesions. Therefore, surgical excision with histopathological diagnosis remains the mainstay of diagnosis [9].…”