Breast aneurysm
Citation, DOI, disclosures and article data
Citation:
Skandhan A, Jones J, Kang O, et al. Breast aneurysm. Reference article, Radiopaedia.org (Accessed on 04 Dec 2024) https://doi.org/10.53347/rID-26023
rID:
26023
Article created:
23 Nov 2013,
Avni K P Skandhan
Disclosures:
At the time the article was created Avni K P Skandhan had no recorded disclosures.
View Avni K P Skandhan's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
6 times, by
6 contributors -
see full revision history and disclosures
Tags:
Synonyms:
- Breast vascular aneurysm
- Breast aneurysms
- Breast vascular aneurysms
Breast aneurysms are a rarely seen cause of a breast mass.
On this page:
Pathology
Types
- true aneurysm: occurs post trauma and is seen as a slowly enlarging pulsatile mass
- false aneurysm / pseudoaneurysm: occurs in acute trauma, post percutaneous biopsy, due to spontaneous hemorrhage secondary to coagulopathies or due to malignant vascular invasion
Radiographic features
Ultrasound
On grey scale ultrasound it may be seen as an anechoic, well-defined cystic structures with moving contents within. Color Doppler may show vascularity with turbulent flow.
CT
May show brilliant contrast enhancement within the lesion, similar to an adjacent vessel.
Treatment and prognosis
Management options include:
- external compression
- thrombin injection
- angioembolisation with coils
- surgical repair
References
- 1. Jesinger RA, Lattin GE, Ballard EA et-al. Vascular abnormalities of the breast: arterial and venous disorders, vascular masses, and mimic lesions with radiologic-pathologic correlation. Radiographics. 2011;31 (7): E117-36. doi:10.1148/rg.317115503 - Pubmed citation
- 2. Dehn TC, Lee EC. Aneurysm presenting as a breast mass. Br Med J (Clin Res Ed). 1986;292 (6530): 1240. Free text at pubmed - Pubmed citation
- 3. El Khoury M, Mesurolle B, Kao E et-al. Spontaneous thrombosis of pseudoaneurysm of the breast related to core biopsy. AJR Am J Roentgenol. 2007;189 (6): W309-11. doi:10.2214/AJR.05.1647 - Pubmed citation
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