Breast hemangioma

Case contributed by Alexandra Stanislavsky , 29 Feb 2016
Diagnosis certain
Changed by Alexandra Stanislavsky, 6 May 2016

Updates to Case Attributes

Status changed from draft to published (public).
Published At was set to .
Body was added:

The mammographic mass has a circumscribed margin, most suggestive of a cyst. However, it has increased in size since the prior study and there are no other visible circumscribed masses in either breast (ie appearance does not fit the "multiple bilateral masses" category1,2) - hence prompting further assessment.

At ultrasound, it was subtle, near isoechoic and superficial.

Both the mammogram and ultrasound appearances are compatible with a haemangioma, however given the relative infrequency of this diagnosis, other differentials would generally be considered first.

  • +<p>The mammographic mass has a circumscribed margin, most suggestive of a cyst. However, it has increased in size since the prior study and there are no other visible circumscribed masses in either breast (ie appearance does not fit the "multiple bilateral masses" category<sup>1,2</sup>) - hence prompting further assessment.</p><p>At ultrasound, it was subtle, near isoechoic and superficial.</p><p>Both the mammogram and ultrasound appearances are compatible with a haemangioma, however given the relative infrequency of this diagnosis, other differentials would generally be considered first.</p>
Presentation was changed:
Routine screening mammogram. Asymptomatic.
Age was set to 55.

References changed:

  • 1. Leung JW, Sickles EA. Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 2000;175 (1): 23-9. <a href="http://dx.doi.org/10.2214/ajr.175.1.1750023">doi:10.2214/ajr.175.1.1750023</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/10882241">Pubmed citation</a><span class="auto"></span>
  • 1. Leung JW, Sickles EA. Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 2000;175 (1): 23-9. <a href="http://dx.doi.org/10.2214/ajr.175.1.1750023">doi:10.2214/ajr.175.1.1750023</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/10882241">Pubmed citation</a><span class="auto"></span>
  • 1. Leung JW, Sickles EA. Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 2000;175 (1): 23-9. <a href="http://dx.doi.org/10.2214/ajr.175.1.1750023">doi:10.2214/ajr.175.1.1750023</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/10882241">Pubmed citation</a><span class="auto"></span>
  • 2. Berg WA, Zhang Z, Cormack JB et-al. Multiple bilateral circumscribed masses at screening breast US: consider annual follow-up. Radiology. 2013;268 (3): 673-83. <a href="http://dx.doi.org/10.1148/radiol.13122251">doi:10.1148/radiol.13122251</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3750421">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/23616634">Pubmed citation</a><span class="auto"></span>
  • 3. Jesinger RA, Lattin GE, Ballard EA et-al. Vascular abnormalities of the breast: arterial and venous disorders, vascular masses, and mimic lesions with radiologic-pathologic correlation. Radiographics. 2011;31 (7): E117-36. <a href="http://dx.doi.org/10.1148/rg.317115503">doi:10.1148/rg.317115503</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/22084191">Pubmed citation</a><span class="auto"></span>
  • http://www.ajronline.org/doi/abs/10.2214/ajr.175.1.1750023
  • Leung JW, Sickles EA. Multiple bilateral masses detected on screening mammography: assessment of need for recall imaging. AJR Am J Roentgenol. 2000;175 (1): 23-9. <a href="http://dx.doi.org/10.2214/ajr.175.1.1750023">doi:10.2214/ajr.175.1.1750023</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/10882241">Pubmed citation</a><span class="auto"></span>

Updates to Study Attributes

Caption was changed:
Previous mammogram, 32 years prior.

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