Huge cavernous hemangioma arising in a male breast

Abstract

We report a rare case of a huge cavernous hemangioma arising in a male breast. A 60-year-old man first noticed 1 x 2 cm elastic hard nodule just below his right nipple ten years previously. It enlarged 5 x 5 cm over six years. When he came to our clinic, it was size of child head (510 mm in circumference),was an elastic hard with a rather smooth surface, and firmly fixed to the chest wall. Magnetic resonance imaging (MRI) and multidetectocomputed tomography (MDCT)showed a large mass infiltrating into the chest wall. Fine needle aspiration cytology (FNA) and core needle biopsy (CNB) failed to obtain proper material except for old bloody fluid or necrotic connective tissue, precluding a correct diagnosis preoperatively. Mastectomy with partial resection of the chest wall was subsequently performed. Histologically, it was found to be a cavernous hemangioma without cellular atypia. In such a case, complete excision is recommended to exclude the possibility of an underlying malignant lesion.

Huge Hemangioma in the Chest Mimicking a Breast Tumor: Report of a Case

“…In one case, contrast CT showed weak and heterogeneous enhancement. 3) In another case, contrast MRI showed slow and continuous enhancement in the peripheral portion. 5) In another case, an angiogram could identify feeder vessels.…”

“…Three cases including ours had no involvement of the ribs or deeper structure, but one case involved ribs and intercostal muscle and radical resection was performed ( Table 1). 3) Although chest cavernous hemangiomas are benign, complete resection is recommended to exclude the possibility of underlying angiosarcoma. 3) conclusIons Huge chest cavernous hemangiomas may not show a distinct enhancement in contrast CT or MRI differently from other typical cavernous hemangiomas.…”

“…3) Although chest cavernous hemangiomas are benign, complete resection is recommended to exclude the possibility of underlying angiosarcoma. 3) conclusIons Huge chest cavernous hemangiomas may not show a distinct enhancement in contrast CT or MRI differently from other typical cavernous hemangiomas. Although chest cavernous hemangiomas in the mammary gland and subcutaneous tissue have been reported, our case is the first reported case of cavernous hemangioma arising from connective tissue under the major pectoralis muscle.…”

Hemangioma in the Male Breast

“…Core biopsy showed endothelial lining. In some cases, where the hemangioma was big in size, a resection was performed [1][2][3][4]. As far as we could find in online scientific databases, these are the only reported cases of proven hemangiomas in the male breast.…”

Atypical Cavernous Hemangioma of the Breast Associated with Multiple Soft Tissue Phleboliths

“…Although hemangiomas are even more rare in men, masses measuring up to 60 mm in male breasts have been described (9,10). One article reports a hemangioma with unilateral whole breast involvement without associated calcifications (11).…”