Breast Hemangioma: MR Appearance with Histopathological Correlation

Ameen, Rasha Sadeq; Mandalia, Uday; Marr, Amanda; McKensie, Paula

doi:10.4103/2156-7514.100376

Cited by 17 publications

(17 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Breast seromas and hematomas [ Figure 2 ] are loculated fluid collections which accumulate in the post-surgical bed with a reported frequency of 20–50% following radical mastectomy and 9–20% following lumpectomy. [ 6 ] On ultrasound, seromas may present as simple or complex cysts with internal echogenic debris. [ 6 ] On MRI, seromas display decreased T1 signal intensity, increased T2 signal intensity, and a thin layer (<4 mm) of peripheral enhancement.…”

Section: Benign Lesionsmentioning

confidence: 99%

MRI Virtual Biopsy of T2 Hyperintense Breast Lesions

Sharma

Nwachukwu

Wieseler

et al. 2021

JCIS

View full text Add to dashboard Cite

A wide variety of benign and malignant breast processes may generate hyperintense signal at T2-weighted magnetic resonance imaging (MRI). MRI has been traditionally used in the pre-treatment planning of breast cancer, in assessing treatment response and detecting recurrence. In this comprehensive review, we describe and illustrate the MRI features of a few common and uncommon T2 hyperintense breast lesions, with an emphasis on MRI features that help to characterize lesions based on morphological features, specific appearances on T1-and T2-weighted imaging, and enhancement characteristics on the dynamic post-contrast phase that are either diagnostic or aid in narrowing the differential diagnosis.

show abstract

Section: Benign Lesionsmentioning

confidence: 99%

MRI Virtual Biopsy of T2 Hyperintense Breast Lesions

Sharma

Nwachukwu

Wieseler

et al. 2021

JCIS

View full text Add to dashboard Cite

show abstract

“…Although large (>3 cm), palpable, intraparenchymal vascular tumors are usually indicative of angiosarcoma in the female breast [24], these features will not help differentiating angiosarcoma from hemangioma in the male breast, mandating histologic diagnosis. Imaging studies might be helpful in larger lesions where magnetic resonance features are more typical but cannot completely replace the histopathological studies due to the difficulty in differentiation from angiosarcomas [34]. Histologic features suggestive of angiosarcoma include infiltrative margins, anastomosing vascular channels, lobular invasion, endothelial tufting, papillary formations, solid and spindle cell foci, mitoses, “blood lakes,” and necrosis [18,30,35].…”

Section: Discussionmentioning

confidence: 99%

Hemangioma of a Male Breast: Case Report and Review of the Literature

et al. 2018

View full text Add to dashboard Cite

Patient: Male, 84Final Diagnosis: Breast hemangiomaSymptoms: Feeling breast massMedication: —Clinical Procedure: —Specialty: SurgeryObjective:Rare diseaseBackground:Male breast hemangioma is a rare benign neoplasm that is usually excised for definitive diagnosis.Case Report:In our case report, we present a male octogenarian with multiple comorbidities who presented with a large palpable mass in his right breast. The diagnostic imaging studies were suggestive of a benign tumor, with a BI-RADS (Breast Imaging Reporting and Data System) score of 3. Subsequent core needle biopsies were diagnostic of benign hemangioma. The patient was managed with observation due to his comorbidities. Benign vascular tumors in the male breast are exceptionally rare, and in our review of the literature we found only 14 previously published cases. Historically, fine needle aspiration has been found to be unreliable in making a definitive diagnosis and surgical excision has been the standard treatment.Conclusions:Recent studies and our case report indicate that core needle biopsy may be a reliable diagnostic tool and observation is a possible option for hemangiomas in male patients who cannot undergo surgery.

show abstract

“…Breast hemangiomas do not have pathognomonic imaging features (2,5,7,8) and thus imaging studies can be misleading in some cases (2,9,16,17). There are no imaging modalities that can reliably differentiate between vascular benign tumors and angiosarcomas (3,7,14).…”

Section: Discussionmentioning

confidence: 99%

“…There are only a few reports of MRI features of breast hemangioma (9,12,16,18). The tumor appears as an ovoid mass that is isointense to surrounding fibroglandular tissue on T1-weighted images and hyperintense on T2-weighted images (12).…”

Section: Discussionmentioning

confidence: 99%