Breast varix

Breast varix is, as the name suggests, varices in the breast that are focally dilated veins in the breast. 

If varices are seen bilaterally then a cause for central venous obstruction (superior vena cava syndrome) could be the underlying aetiology with the varices being a part of the collateral circulation.

Mammography
  • may not be visible if blood gets compressed
  • phleboliths
Ultrasound
  • anechoic, tubular mass
  • compressible with probe compression
  • doppler demonstrates flow within
MRI
  • homogeneously hyperintense
  • brilliant enhancement
  • pulsation artifact 
  • demonstration of communication with a vein
  • no treatment required
  • may be removed for cosmetic reasons or if symptomatic
Complications

Thrombosis of the varix can occur, which can be painful.

Breast imaging and pathology
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Article information

rID: 26027
Systems: Breast, Vascular
Section: Pathology
Tags: breast, refs, cases
Synonyms or Alternate Spellings:
  • Breast dilated vein
  • Mammary varix
  • Breast varices
  • Mammary varices

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