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Breast hemangioma

Case contributed by Dr Rasha Aldoury

Presentation

Screening mammogram. Found to have multiple masses, stable on follow up.

Patient Data

Age: 45 years
Gender: Female
Mammography

Dense lobulated superficial mass with calcification at the right axillary tail.

Similar mass in the right axilla.

Ultrasound

There is a heterogenous poorly defined hypoechoic mass in the upper outer quadrant correlating with the palpable area in the right breast which measures 1.5 x 0.8 x 1.1 cm. Similar mass noted at the right axilla measures 2 x 0.7 cm correlating with the palpable area on the mammogram.

The appearances are suggestive of a benign vascular lesion, e.g. hemangioma.

Case Discussion

A mass appearing oval or lobular in shape with well-circumscribed or microlobulated margins on mammography and sonography, and in a superficial location, makes the radiologist think of a possible diagnosis of hemangioma. Image-guided biopsy is reliable to rule out any malignant or premalignant component and therefore avoid a surgical excision.

With thanks to Dr Asem Mansour, King Hussein Cancer Center.

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Case information

rID: 64648
Published: 2nd Dec 2018
Last edited: 2nd Mar 2021
System: Vascular, Breast
Inclusion in quiz mode: Included

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