An unusual cause and presentation of a pelvic mass

Breast Hemangioma: MR Appearance with Histopathological Correlation

“…[3] They may be found incidentally following histological assessment of specimens taken during lumpectomy or mastectomy, often post mortem. [13] Hemangiomas are divided into two main types; capillary or cavernous; this is based on the size of the vessels involved,[3] the lesion in our case was a capillary hemangioma, not a cavernous one as the vessel size distinction was found with the help of the hispathological findings. Breast hemangiomas tend to be located superficially either in the subcutaneous tissue or subdermally and as such are palpable.…”

“…Hemangiomas are rare vascular tumors in the breast[12] with incidence between 1.2% and 11%. [34] Breast hemangiomas have a wide range of appearances and clinical behavior, with the potential to undergo malignant change.…”

“…[3] Studies have shown that the age variability of affected patients ranges from 18 months to 82 years. [1] Patients are often young making mammography of limited utility, due to the increased breast density. On mammogram, hemangiomas tend to appear as round opacities, which may contain internal calcification or phleboliths.…”

“…[3] This is supported by examples where palpable and readily visible (to the eye) well-defined nodules were not detected sonographically. [1] Larger lesions appear more heterogeneous with serpiginous internal vessels present, and draining vessel may also be seen.…”

“…[15–7] The available literature relates to large lesions with internal slow flow and draining vessels. [6] The hemangioma identified in our case report was small and highly vascular with avid enhancement.…”