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Axillary vascular malformation visualized on mammogram: A case report.

Pranjali Joshi1, Anamika Kumar1, Satish Chaitanya1

  • 1Integrated Breast Care Centre, All India Institute of Medical Sciences, Rishikesh, 249203, India.

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Summary

Vascular malformations in the chest wall can appear as masses on mammograms, complicating diagnosis. This case highlights imaging techniques for identifying these rare chest wall lesions.

Keywords:
BreastCT, computed tomographyComputed tomography angiographyDBT, digital breast tomosynthesisDM, digital mammographyFNAC, fine needle aspiration cytologyMRI, magnetic resonance imagingMammographyNCCT, noncontrast computed tomographyUS, ultrasonographyUltrasonographyVM, venous malformationVascular malformation

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Area of Science:

  • Radiology
  • Medical Imaging
  • Vascular Malformations

Background:

  • Chest wall lesions can present diagnostic challenges on mammography.
  • Accurate interpretation is crucial for patient management.

Observation:

  • A 67-year-old patient presented with right axillary and supraclavicular fullness.
  • Mammography revealed findings suggestive of a chest wall mass.

Findings:

  • Imaging, including mammography, ultrasonography, and CT angiography, diagnosed an axillary and retro-pectoral vascular malformation.
  • This vascular anomaly mimicked a malignant mass on initial mammographic assessment.

Implications:

  • This case underscores the importance of considering vascular malformations in the differential diagnosis of mammographic abnormalities.
  • Advanced imaging modalities are essential for definitive characterization and diagnosis of chest wall lesions.