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

Abstract

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.

Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI

“…Breast hemangiomas may occur at any age, even in childhood, with an age range between 18 months and 82 years [11]. Very rarely, hemangiomas may also present in association with breast implants [12] and in the male breast [13].…”

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

“…Mammary hemangiomas were first described by Image and Hake in 1847 and the first operative case was by Sutton in 1889 [147]. They are defined as benign vascular lesions consisting of a mass of blood vessels [148]. There have been many types of hemangiomas described, with the first classification system described by Rosen in 2001 [149].…”

Hemangioma of the male breast: Presentation after thorn injury

“…The differential diagnosis of a palpable mass in a male patient includes, but is not limited to, gynecomastia, pseudogynecomastia such as lipomastia, hemangioma, angiosarcoma, lymphangioma, fat necrosis, pseudoangiomatous stromal hyperplasia, and reactive lymphadenopathy. 7 …”

“… 9 A retrospective study by Mesurolle et al, and further highlighted by Yoga et al, concluded that it is reasonable to spare patients surgical excision of benign hemangiomas of the breast with a strong radiographic–pathologic correlation and a clearly benign diagnosis on biopsy. 7,10 The patient did not undergo surgery and close follow-up was recommended.…”

“…6 Most breast tumors, including hemangiomas, and other breast lesions in males present as palpable masses. 7 Here, we report the case of a male patient who did not initially have a palpable breast mass, but following a thorn stick, developed clinical symptoms and eventually was diagnosed with a hemangioma of the breast.…”