Investig Magn Reson Imaging.  2015 Jun;19(2):131-135. 10.13104/imri.2015.19.2.131.

Complex Hemangioma of the Breast: Case Report, with Imaging Findings

• Lee JY
• Cha JH
• Kim HH
• Shin HJ
• Chae EY
• Choi WJ
• Song MJ

• KMID: 2175595
• DOI: http://doi.org/10.13104/imri.2015.19.2.131

Abstract

Vascular tumors in the breast are rare, and most can be classified as being either angiosarcomas or hemangiomas. Hemangiomas are benign vascular tumors that are usually identified incidentally. Here, we are reporting on a case of a complex hemangioma of the breast, and describing the mammography, ultrasonography, and magnetic resonance imaging findings for this patient.

Keyword

Breast; Hemangioma; Magnetic resonance imaging

MeSH Terms

Breast*
Hemangioma*
Hemangiosarcoma
Humans
Magnetic Resonance Imaging
Mammography
Ultrasonography

Figure

• 

  Fig. 1 47-year-old woman with a palpable mass diagnosed as invasive ductal cancer in the right breast. (a) A right lateral spot compression magnification view, showing two irregular, indistinct, high density masses with microcalcifications in the upper outer portion of the right breast, as evidenced by skin markers of biopsy-confirmed invasive ductal cancer (arrowheads). Additionally mammography revealed a 2.5 cm, round, circumscribed, low density mass (arrows) at the posterior upper direction of the known malignant lesion. There was no combined calcification within or around this mass. (b) Ultrasonography showing a 2.6 × 2.4 cm, oval, circumscribed, heterogeneous echoic mass (arrows). (c) A power Doppler study, showing increased internal vascularity in the mass. (d) A T2-weighted image showing bright, and high, signal intensity for the mass. (e, f) A dynamic contrast-enhanced image of the mass, showing initial homogeneous enhancement, with delayed washout. (g) An MIP image, showing an irregular known malignant lesion (arrowheads) and an incidentally detected mass (arrows) with engorged vessels, at the upper outer quadrant of the right breast. (h) By gross examination, the tumor (arrows) was a spongiotic, ovoid mass, with a heterogeneously dark-brown to pinkish-red color and central fibrosis. (i) Microscopically, the tumor was a circumscribed, apparently encapsulated mass (magnification × 4, left side) with dilated, occasionally anastomosing vascular channels (magnification × 200, right side).

Reference

1. Glazebrook KN, Morton MJ, Reynolds C. Vascular tumors of the breast: mammographic, sonographic, and MRI appearances. AJR Am J Roentgenol. 2005; 184:331–338.

2. Kim SM, Kim HH, Shin HJ, Gong G, Ahn SH. Cavernous haemangioma of the breast. Br J Radiol. 2006; 79:e177–e180.

3. Rosen PP, Hoda SA, Brogi E, Koerner FC. Rosen's breast pathology. 4th ed. Philadelphia Wolters Kluwer Health/Lippincott Williams & Wilkins;2014.

4. Yang LH, Ma S, Li QC, Xu HT, Wang X, Wang EH. A suspicious breast lesion detected by dynamic contrastenhanced MRI and pathologically confirmed as capillary hemangioma: a case report and literature review. Korean J Radiol. 2013; 14:869–873.

5. Hayasaka K, Tanaka Y, Saitoh T, Takahashi M. Gadoliniumenhanced dynamic MRI of breast hemangioma. Comput Med Imaging Graph. 2003; 27:493–495.

6. Vuorela AL. MRI of breast hemangioma. J Comput Assist Tomogr. 1998; 22:1009–1010.

7. Jozefczyk MA, Rosen PP. Vascular tumors of the breast. II. Perilobular hemangiomas and hemangiomas. Am J Surg Pathol. 1985; 9:491–503.

8. Tilve A, Mallo R, Perez A, Santiago P. Breast hemangiomas: correlation between imaging and pathologic findings. J Clin Ultrasound. 2012; 40:512–517.