Breast Hemangioma Manifesting as Breast Lump in an Elderly Female: a Case Report

Abstract

Breast masses are most commonly malignant in women in their seventh decade. Hemangioma of the breast is a rare etiology of benign breast lump. We are reporting a case of breast hemangioma in a septuagenarian female. A 70-year-old female presented with small lump in the right breast with overlying skin having bluish discoloration. Mammography report was suggestive of BIRADS 4b lesion, but ultrasound characteristically showed heterogeneously hypoechoic mass with internal vascularity confirmed to be hemangioma on biopsy. The patient manifested with well-defined breast lump raising the suspicion of malignancy, but a clue for the benign disease was duration of symptoms for 3 years. Bluish hue of the skin and ultrasound showing internal vascularity prompted the possibility of vascular neoplasm. Although hemangioma is the most common benign vascular lesion of the breast, due to rarity of the condition, it has been mostly described as case reports in the literature. This report will focus on the clinical manifestation, management, and dilemma in the treatment and follow-up of breast hemangioma. Benign breast lumps of vascular origin are rare, but excision biopsy is required for diagnosis. Follow-up of these cases is equally important as their malignant potential is unclear.