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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

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Cavernous Hemangioma in the Breast.

Oğuz Uğur Aydın¹, Lütfi Soylu¹, Aydan İlkme Ercan²

¹Clinic of General Surgery, Ankara Private Güven Hospital, Ankara, Turkey.

The Journal of Breast Health

|March 24, 2017

Summary

Cavernous hemangiomas are rare benign breast tumors. This case highlights their incidental discovery via mammography, requiring biopsy for definitive diagnosis.

Keywords:

Cavernous hemangioma breast ultrasonography

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Area of Science:

Radiology
Pathology
Oncology

Background:

Breast vascular tumors are uncommon, with hemangiomas being the most frequent benign type.
Hemangiomas are classified into capillary, cavernous, and venous subtypes, with cavernous being the most prevalent.
Benign breast hemangiomas can mimic ductal carcinoma in situ (DCIS) on mammography, necessitating accurate diagnostic approaches.

Observation:

A 54-year-old female presented with an incidentally detected breast lesion on mammography (MG).
Physical examination and ultrasonography (US) failed to identify the mass, underscoring imaging modality limitations.
Mammographic analysis classified the lesion as BIRADS 4b, prompting further investigation.

Findings:

The patient underwent wire localization followed by excisional biopsy for definitive diagnosis.
Histopathological examination confirmed the presence of a cavernous hemangioma.
This case emphasizes the importance of integrating various imaging techniques and pathological analysis for diagnosing breast lesions.

Implications:

Accurate diagnosis of benign breast vascular tumors like cavernous hemangioma is crucial to avoid unnecessary treatments.
Advanced imaging techniques such as magnetic resonance imaging (MRI) can aid in characterizing breast vascular structures.
This case contributes to the understanding of rare breast tumors and reinforces the role of biopsy in confirming diagnoses when imaging is equivocal.