A Rare Giant Cavernous Hemangioma: A Case Report with the Review of the Literature

Abstract

Objective: Vascular tumors of the breast are extremely rare; among these tumors, hemangiomas are tumors without pathognomonic features. Hemangiomas of the breast are incidentally seen in mastectomy cases. Diagnosis of these tumors using conventional imaging methods is rare. Core needle biopsy and aspiration biopsy cannot help the diagnosis. Case: A 69-year-old woman presented to the outpatient clinic with a sudden hematoma on a slow-growing mass in the right breast with a 1-year history. After breast ultrasonography and dynamic contrast-enhanced magnetic resonance imaging supported a 5 × 4 × 2 cm hemangioma, fine needle aspiration biopsy was performed and sent to pathology after excisional biopsy because of the hematinic material. The pathological findings of the mass were positive for breast hemangioma, and no disease recurrence has been observed in the last six months. Conclusions: Preoperative diagnosis of breast hemangiomas is difficult. Surgical excision is recommended if the vascular lesion is larger than 2 cm, shows atypical features on core needle biopsy, or has discordant radiologic and pathologic findings.