Breast Hemangioma Evaluation with Magnetic Resonance Imaging: A Rare Case Report

Aslan, Özge; Oktay, Ayşenur; Serın, Gürdenız; Yenıay, Levent; Aghamirzayev, Orkhan

doi:10.4274/ejbh.galenos.2021.6278

Cited by 6 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They are found in 11% of breasts post-mortem [153] and in 1% of mastectomy specimens [154]. Hemangiomas are typically small lesions < 2 cm that are detected incidentally on screening mammography [155]. They can appear as superficial palpable masses frequently with skin discoloration [144,153], though this should raise suspicion for angiosarcoma [154].…”

Section: Hemangiomamentioning

confidence: 99%

“…If calcifications are present, they are related to phleboliths or calcified thrombi [153]. Sonographically, they are variable with descriptors ranging from hypoechoic and well-circumscribed [150] to hyperechoic and ill-defined [153] to isoechoic with significant heterogeneity but smooth margins [148,155]. They are difficult to differentiate from complex cysts or fibroadenomas on US [150].…”

Section: Hemangiomamentioning

confidence: 99%

Section: Hemangiomamentioning

confidence: 99%

“…Excision has been recommended for all benign vascular lesions to exclude angiosarcoma [150,155]; the rationale is twofold. First, if only well-differentiated areas are sampled, angiosarcomas may be underdiagnosed [144,155]. In newer retrospective case series, few cases where benign hemangiomas, even with atypia on CNB are upgraded to angiosarcoma [144,155].…”

Section: Hemangiomamentioning

confidence: 99%

“…First, if only well-differentiated areas are sampled, angiosarcomas may be underdiagnosed [144,155]. In newer retrospective case series, few cases where benign hemangiomas, even with atypia on CNB are upgraded to angiosarcoma [144,155]. For instance, in three case series (total n = 50) involving vascular breast lesions, only one was upgraded to a low-grade angiosarcoma after excision, and features were suspicious on pre-operative CNB [144,158,159].…”

Section: Hemangiomamentioning

confidence: 99%

See 4 more Smart Citations

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

et al. 2023

View full text Add to dashboard Cite

Mesenchymal breast tumors are a rare and diverse group of tumors that present some of the most challenging cases for multidisciplinary breast cancer teams. As a result of overlapping morphologies and a lack of large-scale studies on these tumors, practices are often heterogeneous and slow to evolve. Herein, we present a non-systematic review that focuses on progress, or lack thereof, in the field of mesenchymal breast tumors. We focus on tumors originating from fibroblastic/myofibroblastic cells and tumors originating from less common cellular origins (smooth muscle, neural tissue, adipose tissue, vascular tissue, etc.).

show abstract

Section: Hemangiomamentioning

confidence: 99%

Section: Hemangiomamentioning

confidence: 99%

Section: Hemangiomamentioning

confidence: 99%

Section: Hemangiomamentioning

confidence: 99%

Section: Hemangiomamentioning

confidence: 99%

See 3 more Smart Citations

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

et al. 2023

View full text Add to dashboard Cite

show abstract

Breast Hemangiomas: Imaging Features With Histopathology Correlation

Dhami,

Hao,

Waheed

et al. 2024

Journal of Breast Imaging

View full text Add to dashboard Cite

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.

show abstract

Cavernous hemangioma of the breast: a case report

Adhikari,

Bhatta,

Bhetwal

2023

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

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.

show abstract

Breast Hemangioma Evaluation with Magnetic Resonance Imaging: A Rare Case Report

Cited by 6 publications

References 12 publications

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

Mesenchymal Tumors of the Breast: Fibroblastic/Myofibroblastic Lesions and Other Lesions

Breast Hemangiomas: Imaging Features With Histopathology Correlation

Cavernous hemangioma of the breast: a case report

Contact Info

Product

Resources

About