Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI
Hemangiomas are vascular lesions, which are only rarely located in the breast. Larger breast hemangiomas may be detected by clinical examination, mammography, and breast ultrasound, whereas smaller lesions are usually incidental findings. We present a rare case of a 43-year-old woman with a cavernou...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/2327892 |
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| author | Menelaos Zafrakas Panayiota Papasozomenou Panayiotis Eskitzis Demetrios Zouzoulas Glyceria Boulogianni Thomas Zaramboukas |
| author_facet | Menelaos Zafrakas Panayiota Papasozomenou Panayiotis Eskitzis Demetrios Zouzoulas Glyceria Boulogianni Thomas Zaramboukas |
| author_sort | Menelaos Zafrakas |
| collection | DOAJ |
| description | Hemangiomas are vascular lesions, which are only rarely located in the breast. Larger breast hemangiomas may be detected by clinical examination, mammography, and breast ultrasound, whereas smaller lesions are usually incidental findings. We present a rare case of a 43-year-old woman with a cavernous hemangioma of the breast, presenting only on MRI and evading mammographic and ultrasonographic imaging. On breast MRI, a small lesion with irregular margins was detected in the right breast, and following gadolinium contrast medium administration, a type 3 curve, with rapid initial rise, followed by reduction in enhancement (washout) in the delayed phase was noted, raising suspicion for malignancy. The lesion could not be visualized on second-look targeted breast ultrasound and full-field digital mammography. A wide local excision was performed after 3 T MRI-guided hook wire localization and diagnosis of cavernous hemangioma was established histologically. Cavernous hemangioma is a rare breast lesion, with only few cases reported in the literature, and this is the first case with a presentation mimicking an invasive tumor on contrast-enhanced MRI. |
| format | Article |
| id | doaj-art-772c6099676e4602a1a106e1b141dd9d |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-772c6099676e4602a1a106e1b141dd9d2025-02-03T06:05:56ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/23278922327892Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRIMenelaos Zafrakas0Panayiota Papasozomenou1Panayiotis Eskitzis2Demetrios Zouzoulas3Glyceria Boulogianni4Thomas Zaramboukas5School of Health and Medical Care, Alexander Technological Educational Institute of Thessaloniki, GreeceSchool of Health and Medical Care, Alexander Technological Educational Institute of Thessaloniki, GreeceTechnological Educational Institute of Western Macedonia, Ptolemais, Greece1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, GreeceEuromedica Private Diagnostic Center of Thessaloniki, GreeceIstodierevnitiki SA, Thessaloniki, GreeceHemangiomas are vascular lesions, which are only rarely located in the breast. Larger breast hemangiomas may be detected by clinical examination, mammography, and breast ultrasound, whereas smaller lesions are usually incidental findings. We present a rare case of a 43-year-old woman with a cavernous hemangioma of the breast, presenting only on MRI and evading mammographic and ultrasonographic imaging. On breast MRI, a small lesion with irregular margins was detected in the right breast, and following gadolinium contrast medium administration, a type 3 curve, with rapid initial rise, followed by reduction in enhancement (washout) in the delayed phase was noted, raising suspicion for malignancy. The lesion could not be visualized on second-look targeted breast ultrasound and full-field digital mammography. A wide local excision was performed after 3 T MRI-guided hook wire localization and diagnosis of cavernous hemangioma was established histologically. Cavernous hemangioma is a rare breast lesion, with only few cases reported in the literature, and this is the first case with a presentation mimicking an invasive tumor on contrast-enhanced MRI.http://dx.doi.org/10.1155/2019/2327892 |
| spellingShingle | Menelaos Zafrakas Panayiota Papasozomenou Panayiotis Eskitzis Demetrios Zouzoulas Glyceria Boulogianni Thomas Zaramboukas Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI Case Reports in Surgery |
| title | Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI |
| title_full | Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI |
| title_fullStr | Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI |
| title_full_unstemmed | Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI |
| title_short | Cavernous Breast Hemangioma Mimicking an Invasive Lesion on Contrast-Enhanced MRI |
| title_sort | cavernous breast hemangioma mimicking an invasive lesion on contrast enhanced mri |
| url | http://dx.doi.org/10.1155/2019/2327892 |
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