Cavernous hemangioma of the breast: Radiologic and pathologic findings

Lafcı, Oğuz; Öztekin, Pelin Seher; Koşar, Pınar Nercis

doi:10.1111/tbj.13566

Cited by 3 publications

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“…Breast USG may reveal a hypoechoic, lobulated mass with well-defined borders, although it can also appear isoechoic or hyperechoic. Breast mammography typically shows a well-defined mass with some areas of calcification 3 , 11 . Although the findings are nonspecific and depend on the size and subtype of the hemangioma, MRI helps characterize the mass lesion and evaluate the extent of its spread.…”

Section: Discussionmentioning

confidence: 99%

Cavernous hemangioma of the breast: a case report

Adhikari,

Bhatta,

Bhetwal

2023

Annals of Medicine &Amp; Surgery

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Background: Hemangioma is a common benign tumor resulting from abnormal blood vessel growth but is infrequent in the breast. Preoperatively, it is challenging to diagnose breast hemangioma using clinical and conventional imaging modalities because of their lack of pathognomonic characteristics. An excisional biopsy can be used for tissue diagnosis in cases of diagnostic uncertainty. Case Presentation: We report a case of cavernous hemangioma of the breast in a 15-year-old adolescent female complaining of a rapidly enlarging firm and mobile lump in the right breast. Breast ultrasonography revealed a well-circumscribed, encapsulated, heteroechoic mass with smooth margins in the retroareolar region of the right breast. Subsequent excision of the lump revealed features of a cavernous hemangioma, and the follow-up was uneventful. Discussion: Cavernous hemangioma of the breast is a rare entity, and its diagnosis poses a significant challenge for clinicians, as the lump may not be noticeable. The clinical diagnosis is challenging; therefore, imaging is required. Breast ultrasonography typically shows a hypoechoic lobulated mass with clear borders, although isoechoic and hyperechoic appearances are also possible. Breast mammography revealed a well-defined mass with areas of calcification. Surgical excision is often necessary when there is a discordance between imaging and histopathological findings, lesions>2 cm, and atypical/malignant features. Conclusion: Breast hemangiomas are rare benign tumors with non-specific imaging features that require tissue sampling for diagnosis. Clinicians should be familiar with these characteristics to ensure proper management.

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Section: Discussionmentioning

confidence: 99%

Cavernous hemangioma of the breast: a case report

Adhikari,

Bhatta,

Bhetwal

2023

Annals of Medicine &Amp; Surgery

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Breast Hemangiomas: Imaging Features With Histopathology Correlation

Dhami,

Hao,

Waheed

et al. 2024

Journal of Breast Imaging

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Breast hemangiomas are rare benign vascular lesions. In a previously performed review of approximately 10,000 breast surgical pathology results, roughly 0.15% (15/~10,000) were hemangiomas. Hemangiomas are more frequent in women and have a documented age distribution of 1.5 to 82 years. They are most often subcutaneous or subdermal and anterior to the anterior mammary fascia but may rarely be seen in the pectoralis muscles or chest wall. On imaging, breast hemangiomas typically present as oval or round masses, often measuring less than 2.5 cm, with circumscribed or mostly circumscribed, focally microlobulated margins, equal or high density on mammography, and variable echogenicity on US. Calcifications, including phleboliths, can be seen. Color Doppler US often shows hypovascularity or avascularity. MRI appearance can vary, although hemangiomas are generally T2 hyperintense and T1 hypointense with variable enhancement. Pathologic findings vary by subtype, which include perilobular, capillary, cavernous, and venous hemangiomas. If core biopsy pathology results are benign, without atypia, and concordant with imaging and clinical findings, surgical excision is not routinely indicated. Because of histopathologic overlap with well-differentiated or low-grade angiosarcomas, surgical excision may be necessary for definitive diagnosis. Findings that are more common with angiosarcomas include size greater than 2 cm, hypervascularity on Doppler US, irregular shape, and invasive growth pattern.

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Cavernous hemangioma of breast: A case report

Hardas,

Mane,

et al. 2023

IJBI

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Cavernous hemangioma of the breast is a rare benign vascular tumor, whose clinical diagnosis is challenging. We describe a case of cavernous hemangioma in an 81-year-old female, who presented with a history of a slow-growing lump in the left breast from the past few months. Mammography revealed a circumscribed high-density mass with microlobulated margins in the lower outer quadrant with no associated findings. Targeted sonography revealed an isoechoic heterogeneous solid mass in the subcutaneous plane with no associated vascularity on color doppler. It was assigned as BI-RADS IV B and an image-guided core biopsy was done. The histopathology report was of cavernous hemangioma. A close follow-up was advised.

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Cavernous hemangioma of the breast: Radiologic and pathologic findings

Cited by 3 publications

References 0 publications

Cavernous hemangioma of the breast: a case report

Cavernous hemangioma of the breast: a case report

Breast Hemangiomas: Imaging Features With Histopathology Correlation

Cavernous hemangioma of breast: A case report

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