Quiescent Volcano—Chest Wall Hemangioma

Abstract

Chest wall hemangiomas are rare tumors that may originate within the soft tissue or from the ribs. Intramuscular hemangioma is infrequent, representing less than 1 % of all hemangiomas, and the localization in the chest wall is even less frequent. They are typically cutaneous in location, large, and poorly circumscribed and can be locally destructive. We present a case of a 34-year-old lady presented with firm lump 3 × 3 cm in left upper and inner quadrant of left breast well defined borders, non-pulsatile and restricted mobility. Sono-mammogram was suggestive of ill-defined lesion at 10 o'clock position. CT chest was conclusive of chest wall hemangioma. The patient underwent excision of the lump. HPE was suggestive of cavernous hemangioma. Cavernous hemangioma typically manifest at birth or before the age of 30 years. CT is more sensitive than plain radiography in detecting phleboliths, which are present in approximately 30 % of cavernous hemangiomas. Surgical excision would be treatment of choice. In this case, the site of the lesion was in the breast clinically mimicking that of a fibroadenoma which warrants hemangioma as a differential diagnosis.

Intercostal hemangiomas coexisting with multiple hepatic hemangiomas: Clinical and imaging findings in a single case report with a review of the literature

“…[8] In addition, due to the potential for recurrence or regeneration of the residual tissue, we recommend that not only complete resection of the IH should be performed during surgery, but also intraoperative pathological examination should be performed to ensure that the submicroscopic margin is negative. Wincheste et al [1] 39, F 5.0 Right (5) Discomfort, fullness N CA --Robinson [2] 58 M 3.0 Right (3) No symptoms N CA --Hashimoto et al [3] 32, M 1.2 Left (6) No symptoms N VH N (24 mo) -Dzian and Hamzík [4] 36, M 9.5 Left (7-8) Pain Unclear VH N (10 mo) -Dantis et al [5] 18, M 6.0 Left (7) Swelling, pain Y CA N (12 mo) -Ulku et al [6] 11, F 8.5 Right (9-11) Unclear N CA N (6 mo) -Saldanha et al [7] 34, F 3.0 Left (3) Unclear Unclear CA N (12 mo) -Elbawab etal [8] 14, M 6.0 Right (5) No symptoms Y Hemangioma N (6 mo) -Agarwal et al [9] 44, F Unclear Right (3) No symptoms N Hemangioma N (18 mo) -Mei et al [10] 14, F 7.0 Right (4) Pain, hemoptysis Y Hemangioma N (10 mo) Trauma Aguilo et al [11] 23, F 5.0 Left (7) No symptoms N AVH -Subdural AVM Kara et al [12] 46, M 4.0 Right (2) No symptoms N AVH N (48 mo) -Yuan et al [13] 44, F Unclear Left (2) No symptoms N CA + CH N (36 mo) -Ono et al [14] 33, M 9.5 Right (3)(4)(5) No symptoms N SVIH + LVIH N (36 mo) -Ali et al [15] 22, F 7.0 Left (6)(7)(8)(9) No symptoms Unclear CA + CH N (6 mo) -Yonehara et al [16] 33, M 5.0 Left (6) No symptoms Y SVIH N (60 mo) Trauma Kubo et al [17] 27, M 5.5 Right (7) Pain, exertional dyspnea N LVIH N (6 mo) -Ochi et al [18] 17…”

“…We searched the English literature relating to IH between January 1990 and September 2023 and identified 18 case reports. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Our present case represents the 19th case (Table 1). By reading these reports, we found no difference in the prevalence of IH between men and women, and most were young patients without chest symptoms; 2 patients had a history of trauma; 1 patient had other vascular lesions, and more than half of the lesions originated from the intercostal muscles and some patients had rib destruction.…”