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Alwani AI, Schwartz MR, Riddle BC, Caplan R, Ware LL. Hemangioma of the male breast: Presentation after thorn injury. BJR Case Rep 2021; 7:20200187. [PMID: 34131501 PMCID: PMC8171138 DOI: 10.1259/bjrcr.20200187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/12/2020] [Accepted: 01/02/2021] [Indexed: 11/12/2022] Open
Abstract
Hemangiomas of the breast are uncommon and, in males, almost always present as a palpable breast mass. Here, we report the case of a male patient who was diagnosed with a breast hemangioma following an incidental injury to his breast, which triggered symptoms that prompted clinical work-up. As this diagnosis likely would have otherwise not been made, it follows that benign breast masses in males may be underreported and underdiagnosed.
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Affiliation(s)
| | - Mary R Schwartz
- Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas, United States
| | - Barrett C Riddle
- Department of Radiology, Houston Methodist Hospital, Houston, Texas, United States
| | - Richard Caplan
- Department of Surgery, Houston Methodist Hospital, Houston, Texas, United States
| | - Lewis L Ware
- Houston Methodist Breast Care Center, Houston Methodist Hospital, Houston, Texas, United States
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Yoga A, Lyapichev KA, Baek D, Gomez-Fernandez CR. Hemangioma of a Male Breast: Case Report and Review of the Literature. AMERICAN JOURNAL OF CASE REPORTS 2018; 19:1425-1429. [PMID: 30498190 PMCID: PMC6287655 DOI: 10.12659/ajcr.911842] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Male breast hemangioma is a rare benign neoplasm that is usually excised for definitive diagnosis. CASE REPORT In our case report, we present a male octogenarian with multiple comorbidities who presented with a large palpable mass in his right breast. The diagnostic imaging studies were suggestive of a benign tumor, with a BI-RADS (Breast Imaging Reporting and Data System) score of 3. Subsequent core needle biopsies were diagnostic of benign hemangioma. The patient was managed with observation due to his comorbidities. Benign vascular tumors in the male breast are exceptionally rare, and in our review of the literature we found only 14 previously published cases. Historically, fine needle aspiration has been found to be unreliable in making a definitive diagnosis and surgical excision has been the standard treatment. CONCLUSIONS Recent studies and our case report indicate that core needle biopsy may be a reliable diagnostic tool and observation is a possible option for hemangiomas in male patients who cannot undergo surgery.
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Affiliation(s)
- Arthy Yoga
- Department of Breast Surgery, Texas Oncology, Houston, TX, USA.,Division of Breast Surgery, Department of Surgery, Bethesda Health System, Boynton Beach, FL, USA
| | - Kirill A Lyapichev
- Department of Pathology and Laboratory Medicine, University of Miami, Miami, FL, USA.,Department of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA
| | - Donghwa Baek
- Department of Pathology and Laboratory Medicine, University of Miami, Miami, FL, USA.,Department of Pathology and Genomic Medicine, Methodist Hospital, Houston, TX, USA
| | - Carmen R Gomez-Fernandez
- Department of Pathology and Laboratory Medicine, University of Miami, Miami, FL, USA.,Sylvester Comprehensive Cancer Center, Miami, FL, USA
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Funamizu N, Tabei I, Sekine C, Fuke A, Yabe M, Takeyama H, Okamoto T. Breast hemangioma with difficulty in preoperative diagnosis: a case report. World J Surg Oncol 2014; 12:313. [PMID: 25312096 PMCID: PMC4200173 DOI: 10.1186/1477-7819-12-313] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Accepted: 10/03/2014] [Indexed: 11/10/2022] Open
Abstract
We report a rare case of breast hemangioma found in a 70-year-old Japanese female. Before seeking medical attention, the patient noticed a hard mass in her right breast but denied associated symptoms. A mammography revealed a well-circumscribed, highly dense, lobular nodule located in the middle inter portion of the right breast. To verify this finding, we used ultrasonography which revealed an irregular, iso-echoic nodule measuring 10 mm in the same portion. Based on these findings, we suspected a malignancy and performed a core needle biopsy. Unexpectedly, a histological examination of the biopsy displayed normal vasculature, adipose, and mammary tissues. In order to make an accurate diagnosis, the mass was surgically excised under general anesthesia and sent to pathology. Pathological findings of the mass were positive for breast hemangioma, and the patient has had no recurrence of the disease for the past 24 months.
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Affiliation(s)
- Naotake Funamizu
- Department of Surgery, The Jikei University School of Medicine, Daisan Hospital, 4-22-1, Izumi honnmachi, Komae-city, Tokyo 201-8601, Japan.
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Madhukar M, Chetlen A. Multimodality imaging of benign and malignant male breast disease. Clin Radiol 2013; 68:e698-706. [DOI: 10.1016/j.crad.2013.07.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 07/09/2013] [Accepted: 07/10/2013] [Indexed: 10/26/2022]
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Tadakoshi M, Ishibashi H, Orimoto Y, Sugimoto I, Iwata H, Yamada T, Hida N, Ohta T. Huge hemangioma in the chest mimicking a breast tumor: report of a case. Ann Vasc Dis 2012; 5:222-4. [PMID: 23555516 DOI: 10.3400/avd.cr.11.00030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2011] [Accepted: 03/27/2012] [Indexed: 11/13/2022] Open
Abstract
A 35 year-old man first noticed an elastic mass like breast tumor in his left chest 17 years ago. It enlarged to the size of a child's head. Computed tomography showed a well-circumscribed mass in the left chest. Lumpectomy was performed. The mass was located under the thin major pectoralis muscle, covered with a white fibrous capsule. The specimen weighed 1360 g and measured 18 × 14 × 8 cm. Histological examination revealed a cavernous hemangioma. To the best of our knowledge, this is the first reported case of a chest hemangioma arising from connective tissue and located under the major pectoralis muscle.
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Affiliation(s)
- Masao Tadakoshi
- Department of Vascular Surgery, Aichi Medical University, Nagakute, Aichi, Japan
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Leddy R, Cluver A. Mammographic and sonographic characteristics of a cavernous hemangioma in a male patient. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2010; 29:645-649. [PMID: 20375384 DOI: 10.7863/jum.2010.29.4.645] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Rebecca Leddy
- Department of Radiology, MSC 323, Medical University of South Carolina, 96 Jonathan Lucas St, Room 210 CSB, Charleston, SC 29425-3230, USA.
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Kawatra V, Lakshmikantha A, Dhingra KK, Gupta P, Khurana N. A rare coexistence of concurrent breast hemangioma with fibroadenoma: a case report. CASES JOURNAL 2009; 2:7005. [PMID: 19829893 PMCID: PMC2740063 DOI: 10.1186/1757-1626-2-7005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2008] [Accepted: 03/18/2009] [Indexed: 12/02/2022]
Abstract
We report the case of a 38-year-old Asian, Indian female with capillary hemangioma breast in coexistence with the commonly occurring fibroadenoma. Clinical examination of the breast revealed a 4 cm diameter lump. Mammography revealed a well defined slightly hypoechoic lesion with smooth contours. A lumpectomy was performed. Histopathology confirmed the diagnosis of a completely encapsulated fibroadenoma coexistent with a capillary hemangioma in the adjacent breast tissue. The rarity of literature on breast hemangioma especially capillary type with coexisting fibroadenoma deserves mention.
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Affiliation(s)
- Vibha Kawatra
- Department of Pathology, Maulana Azad Medical College and Lok Nayak Hospital Bahadur Shah Zafar Marg, New Delhi -110002 India.
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Abstract
Chest wall lesions constitute a diverse group of thoracic diseases, including those of soft tissue and osseous origin. MR imaging, with its superior tissue-resolving capability and multiplanar image acquisition, is an important tool for assessing chest wall lesions. In this article, the authors review common and uncommon diseases of the chest wall, with an emphasis on the MR imaging characteristics of these diseases. Among the diseases they discuss are diseases of the soft tissue including lipoma, hibernoma, liposarcoma, hemangioma, and lymphoma. They also examine diseases of the osseous thorax, including benign osseous tumors, fibrous dysplasia, and aneurysmal bone cyst. In addition, they discuss such malignant osseous tumors as osteosarcoma and Ewing's sarcoma.
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Affiliation(s)
- Theodore J Lee
- Department of Radiology, University of California, San Francisco, San Francisco, California 94143, USA.
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Abstract
Vascular tumours of the breast are rare and most can be classified as either angiosarcomas or haemangiomas. Cavernous haemangiomas are the most common form of mammary haemangioma. We describe a case with unilateral whole breast involvement without associated calcifications, studied with mammography, ultrasound and MRI.
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Affiliation(s)
- S M Kim
- Department of Radiology, Asan Medial Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, Korea
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