Mammographic and Sonographic Findings of a Breast Cystic Lymphangioma

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

“…On mammography, breast cystic lymphangioma show round-shaped or lobulated densities [2]. However, the mammographic findings are non-specific as many of the cases occur high in the axilla, rendering its visualization on mammogram difficult.…”

“…However, rapid expansion can occur because of hemorrhage into the sonography, it appears as a multiloculated cystic mass with variable sized septations that contain solid components arising from the cyst wall or septa [2,10]. Some authors suggest that when the lymphatic ducts in cases of lymphangioma are prominent on ultrasound, appearance can resemble duct ectasia in an accessory breast tissue, however, upon compression by the transducer, lymphatic ducts in lymphangioma will be totally collapsed while it will not be affected by compression in cases of duct ectasia related to accessory breast.…”

“…Considering the proposed etiology for this disease, resulting in failure of communication with the main central lymphatic ducts; explaining their tendency to occur along the lymphatic drainage routes, being directed towards the axilla [2,5,7]. Such localized lesions in the breast are usually located in the upper outer quadrant, tail of Spence or sub-areolar space [5].…”

“…It is a vascular malformation rather than a true neoplasm, and this lesion is believed to be the result from failure of the lymphatic system to connect with the venous system [2][3][4]. Possible etiological factors include Blockage of the lymphatic channels with resultant secondary dilatation, congenital weakness of the lymphatic wall or proliferation of lymphatic vessels [3].…”

Giant Lymphangioma of the Breast in an Adult

“…Breast lymphangioma is extremely rare lesion; a review of literature revealed only 10 cases reported until now. [1][2][3][4] we report a case of large lymphangioma of breast in a young female.…”