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Quiescent Volcano-Chest Wall Hemangioma.

Elroy Saldanha1, John J S Martis1, B Vinod Kumar1

  • 1Department of General Surgery, Fr. Muller Medical College Hospital, Kankanady, Mangalore, Karnataka 575002 India.

The Indian Journal of Surgery
|August 23, 2017
PubMed
Summary

Chest wall hemangiomas are rare tumors. This case highlights a chest wall hemangioma in the breast, mimicking a fibroadenoma, emphasizing the need for differential diagnosis.

Keywords:
Cavernous hemangiomaChest wall hemangiomaFibroadenomaPhleboliths

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Area of Science:

  • Oncology
  • Radiology
  • Pathology

Background:

  • Chest wall hemangiomas are rare tumors originating from soft tissue or ribs.
  • Intramuscular hemangiomas constitute less than 1% of all hemangiomas, with chest wall localization being even rarer.
  • These tumors are often cutaneous, large, poorly circumscribed, and can cause local destruction.

Purpose of the Study:

  • To present a case of a chest wall hemangioma located in the breast.
  • To discuss the diagnostic challenges and imaging findings of this rare condition.
  • To emphasize hemangioma as a differential diagnosis for breast lumps.

Main Methods:

  • Case presentation of a 34-year-old female with a breast lump.
  • Diagnostic imaging including sono-mammogram and CT chest.
  • Surgical excision and histopathological examination (HPE).

Main Results:

  • Sono-mammogram suggested an ill-defined lesion.
  • CT chest confirmed chest wall hemangioma.
  • HPE revealed cavernous hemangioma, with surgical excision as the treatment of choice.

Conclusions:

  • Chest wall hemangiomas, particularly cavernous types, can present in adults and mimic other breast pathologies like fibroadenoma.
  • CT is valuable for diagnosing hemangiomas, detecting phleboliths in about 30% of cases.
  • Surgical excision is the recommended treatment for symptomatic or diagnostically ambiguous lesions.