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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
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.
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.
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