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Benign Lesions of Vascular Origin
Wendie A. Berg, MD, PhD, FACR, FSBI; Lumarie Santiago, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Benign lesions of vascular origin arising in breast: Hemangiomas, venous malformations, lymphangiomas or lymphatic malformations, angiolipomas

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Image-Guided Biopsy

                  • Imaging Recommendations

                    • Hemangiomas

                      • Venous Malformation

                        • Lymphangioma and Lymphatic Malformation

                          • Angiolipoma

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
                                                2. Mango VL et al: The unusual suspects: A review of unusual benign and malignant male breast imaging cases. Clin Imaging. 50:78-85, 2018
                                                3. Ginter PS et al: Vascular tumours of the breast: a comprehensive review with focus on diagnostic challenges encountered in the core biopsy setting. Pathology. 49(2):197-214, 2017
                                                4. Rowe JJ et al: Lipomatous tumors of the breast: A contemporary review. Semin Diagn Pathol. 34(5):453-461, 2017
                                                5. Sebastiano C et al: Benign vascular lesions of the breast diagnosed by core needle biopsy do not require excision. Histopathology. 71(5):795-804, 2017
                                                6. Ma W et al: Capillary hemangioma of the breast: A rare type of benign breast tumor. Breast J. 22(3):355-6, 2016
                                                7. Aydın OU et al: Cavernous Hemangioma in the Breast. J Breast Health. 11(4):199-201, 2015
                                                8. Frey JD et al: Angiosarcoma of the breast masquerading as hemangioma: exploring clinical and pathological diagnostic challenges. Arch Plast Surg. 42(2):261-3, 2015
                                                9. Schickman R et al: Mesenchymal breast lesions. Clin Radiol. 70(6):567-75, 2015
                                                10. Yang LH et al: A suspicious breast lesion detected by dynamic contrast-enhanced MRI and pathologically confirmed as capillary hemangioma: a case report and literature review. Korean J Radiol. 14(6):869-73, 2013
                                                11. Tilve A et al: Breast hemangiomas: correlation between imaging and pathologic findings. J Clin Ultrasound. 40(8):512-7, 2012
                                                12. Ferru JM: [Hemangioma of the breast: mammographic, sonographic and MRI features.] J Radiol. 92(5):441-5, 2011
                                                13. Jesinger RA et al: Vascular abnormalities of the breast: arterial and venous disorders, vascular masses, and mimic lesions with radiologic-pathologic correlation. Radiographics. 31(7):E117-36, 2011
                                                14. Balaji R et al: Cystic lymphangioma of the breast: Magnetic resonance imaging features. Breast Care (Basel). 5(4):250-252, 2010
                                                15. Mesurolle B et al: Sonographic and mammographic appearances of breast hemangioma. AJR Am J Roentgenol. 191(1):W17-22, 2008
                                                16. Glazebrook KN et al: Vascular tumors of the breast: mammographic, sonographic, and MRI appearances. AJR Am J Roentgenol. 184(1):331-8, 2005
                                                17. Lopez-Gutierrez JC et al: Misdiagnosis in hemangiomas and vascular malformations of the breast. Eur J Gynaecol Oncol. 26(6):667; author reply 667-8, 2005
                                                18. Turnbull MM et al: Arteriovenous malformations in Cowden syndrome. J Med Genet. 42(8):e50, 2005
                                                19. Hunt SJ et al: Vascular tumors of the skin: a selective review. Semin Diagn Pathol. 21(3):166-218, 2004
                                                20. Kondis-Pafitis A et al: Clinicopathological study of vascular tumors of the breast: a series of ten patients with a long follow-up. Eur J Gynaecol Oncol. 25(3):324-6, 2004
                                                21. Chung SY et al: Mammographic and sonographic findings of a breast cystic lymphangioma. J Ultrasound Med. 22(3):307-9, 2003
                                                22. Flis C et al: An unusual case of an enlarging mass on a screening mammogram: a case report and review of the radiology and current literature. Breast. 12(3):220-2, 2003
                                                23. Weinstein SP et al: Case 59: Angiolipoma of the breast. Radiology. 227(3):773-5, 2003
                                                24. Chung SY et al: Mammographic and sonographic findings of a breast subcutaneous hemangioma. J Ultrasound Med. 21(5):585-8, 2002
                                                25. Mariscal A et al: Breast hemangioma mimicking carcinoma. Breast. 11(4):357-8, 2002
                                                26. Aurello P et al: Hemangioma of the breast: an unusual lesion without univocal diagnostic findings. J Exp Clin Cancer Res. 20(4):611-3, 2001
                                                27. Darling ML et al: Mammographic and sonographic features of angiolipoma of the breast. Breast J. 6(3):166-170, 2000
                                                28. Dener C et al: Haemangiomas of the breast. Eur J Surg. 166(12):977-9, 2000
                                                29. Donnelly LF et al: Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic. AJR Am J Roentgenol. 174(3):597-608, 2000
                                                30. Faul JL et al: Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome. Am J Respir Crit Care Med. 161(3 Pt 1):1037-46, 2000
                                                31. Vuorela AL: MRI of breast hemangioma. J Comput Assist Tomogr. 22(6):1009-10, 1998
                                                32. Webb LA et al: Case report: haemangioma of the breast--appearances on mammography and ultrasound. Clin Radiol. 51(7):523-4, 1996
                                                33. Gembala RB et al: Color Doppler detection of a breast perilobular hemangioma. J Ultrasound Med. 12(4):220-2, 1993
                                                34. Yu GH et al: Cellular angiolipoma of the breast. Mod Pathol. 6(4):497-9, 1993
                                                35. Hoda SA et al: Hemangiomas of the breast with atypical histological features. Further analysis of histological subtypes confirming their benign character. Am J Surg Pathol. 16(6):553-60, 1992
                                                36. Nagar H et al: Haemangiomas of the breast in children. Eur J Surg. 158(9):503-5, 1992
                                                37. Shousha S et al: Cavernous haemangioma of breast in a man with contralateral gynaecomastia and a family history of breast carcinoma. Histopathology. 13(2):221-3, 1988
                                                38. Marymont JV et al: Maffucci's syndrome complicated by carcinoma of the breast, pituitary adenoma, and mediastinal hemangioma. South Med J. 80(11):1429-31, 1987
                                                39. Schwartz IS et al: Hemangioma of male breast. Am J Surg Pathol. 11(9):739, 1987
                                                40. Jozefczyk MA et al: Vascular tumors of the breast. II. Perilobular hemangiomas and hemangiomas. Am J Surg Pathol. 9(7):491-503, 1985
                                                41. Lesueur GC et al: Incidence of perilobular hemangioma in the female breast. Arch Pathol Lab Med. 107(6):308-10, 1983
                                                42. Donnell RM et al: Angiosarcoma and other vascular tumors of the breast. Am J Surg Pathol. 5(7):629-42, 1981
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          TERMINOLOGY

                                                          • Definitions

                                                            • Benign lesions of vascular origin arising in breast: Hemangiomas, venous malformations, lymphangiomas or lymphatic malformations, angiolipomas

                                                          IMAGING

                                                          • General Features

                                                            • Ultrasonographic Findings

                                                              • Image-Guided Biopsy

                                                                • Imaging Recommendations

                                                                  • Hemangiomas

                                                                    • Venous Malformation

                                                                      • Lymphangioma and Lymphatic Malformation

                                                                        • Angiolipoma

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
                                                                                              2. Mango VL et al: The unusual suspects: A review of unusual benign and malignant male breast imaging cases. Clin Imaging. 50:78-85, 2018
                                                                                              3. Ginter PS et al: Vascular tumours of the breast: a comprehensive review with focus on diagnostic challenges encountered in the core biopsy setting. Pathology. 49(2):197-214, 2017
                                                                                              4. Rowe JJ et al: Lipomatous tumors of the breast: A contemporary review. Semin Diagn Pathol. 34(5):453-461, 2017
                                                                                              5. Sebastiano C et al: Benign vascular lesions of the breast diagnosed by core needle biopsy do not require excision. Histopathology. 71(5):795-804, 2017
                                                                                              6. Ma W et al: Capillary hemangioma of the breast: A rare type of benign breast tumor. Breast J. 22(3):355-6, 2016
                                                                                              7. Aydın OU et al: Cavernous Hemangioma in the Breast. J Breast Health. 11(4):199-201, 2015
                                                                                              8. Frey JD et al: Angiosarcoma of the breast masquerading as hemangioma: exploring clinical and pathological diagnostic challenges. Arch Plast Surg. 42(2):261-3, 2015
                                                                                              9. Schickman R et al: Mesenchymal breast lesions. Clin Radiol. 70(6):567-75, 2015
                                                                                              10. Yang LH et al: A suspicious breast lesion detected by dynamic contrast-enhanced MRI and pathologically confirmed as capillary hemangioma: a case report and literature review. Korean J Radiol. 14(6):869-73, 2013
                                                                                              11. Tilve A et al: Breast hemangiomas: correlation between imaging and pathologic findings. J Clin Ultrasound. 40(8):512-7, 2012
                                                                                              12. Ferru JM: [Hemangioma of the breast: mammographic, sonographic and MRI features.] J Radiol. 92(5):441-5, 2011
                                                                                              13. Jesinger RA et al: Vascular abnormalities of the breast: arterial and venous disorders, vascular masses, and mimic lesions with radiologic-pathologic correlation. Radiographics. 31(7):E117-36, 2011
                                                                                              14. Balaji R et al: Cystic lymphangioma of the breast: Magnetic resonance imaging features. Breast Care (Basel). 5(4):250-252, 2010
                                                                                              15. Mesurolle B et al: Sonographic and mammographic appearances of breast hemangioma. AJR Am J Roentgenol. 191(1):W17-22, 2008
                                                                                              16. Glazebrook KN et al: Vascular tumors of the breast: mammographic, sonographic, and MRI appearances. AJR Am J Roentgenol. 184(1):331-8, 2005
                                                                                              17. Lopez-Gutierrez JC et al: Misdiagnosis in hemangiomas and vascular malformations of the breast. Eur J Gynaecol Oncol. 26(6):667; author reply 667-8, 2005
                                                                                              18. Turnbull MM et al: Arteriovenous malformations in Cowden syndrome. J Med Genet. 42(8):e50, 2005
                                                                                              19. Hunt SJ et al: Vascular tumors of the skin: a selective review. Semin Diagn Pathol. 21(3):166-218, 2004
                                                                                              20. Kondis-Pafitis A et al: Clinicopathological study of vascular tumors of the breast: a series of ten patients with a long follow-up. Eur J Gynaecol Oncol. 25(3):324-6, 2004
                                                                                              21. Chung SY et al: Mammographic and sonographic findings of a breast cystic lymphangioma. J Ultrasound Med. 22(3):307-9, 2003
                                                                                              22. Flis C et al: An unusual case of an enlarging mass on a screening mammogram: a case report and review of the radiology and current literature. Breast. 12(3):220-2, 2003
                                                                                              23. Weinstein SP et al: Case 59: Angiolipoma of the breast. Radiology. 227(3):773-5, 2003
                                                                                              24. Chung SY et al: Mammographic and sonographic findings of a breast subcutaneous hemangioma. J Ultrasound Med. 21(5):585-8, 2002
                                                                                              25. Mariscal A et al: Breast hemangioma mimicking carcinoma. Breast. 11(4):357-8, 2002
                                                                                              26. Aurello P et al: Hemangioma of the breast: an unusual lesion without univocal diagnostic findings. J Exp Clin Cancer Res. 20(4):611-3, 2001
                                                                                              27. Darling ML et al: Mammographic and sonographic features of angiolipoma of the breast. Breast J. 6(3):166-170, 2000
                                                                                              28. Dener C et al: Haemangiomas of the breast. Eur J Surg. 166(12):977-9, 2000
                                                                                              29. Donnelly LF et al: Vascular malformations and hemangiomas: a practical approach in a multidisciplinary clinic. AJR Am J Roentgenol. 174(3):597-608, 2000
                                                                                              30. Faul JL et al: Thoracic lymphangiomas, lymphangiectasis, lymphangiomatosis, and lymphatic dysplasia syndrome. Am J Respir Crit Care Med. 161(3 Pt 1):1037-46, 2000
                                                                                              31. Vuorela AL: MRI of breast hemangioma. J Comput Assist Tomogr. 22(6):1009-10, 1998
                                                                                              32. Webb LA et al: Case report: haemangioma of the breast--appearances on mammography and ultrasound. Clin Radiol. 51(7):523-4, 1996
                                                                                              33. Gembala RB et al: Color Doppler detection of a breast perilobular hemangioma. J Ultrasound Med. 12(4):220-2, 1993
                                                                                              34. Yu GH et al: Cellular angiolipoma of the breast. Mod Pathol. 6(4):497-9, 1993
                                                                                              35. Hoda SA et al: Hemangiomas of the breast with atypical histological features. Further analysis of histological subtypes confirming their benign character. Am J Surg Pathol. 16(6):553-60, 1992
                                                                                              36. Nagar H et al: Haemangiomas of the breast in children. Eur J Surg. 158(9):503-5, 1992
                                                                                              37. Shousha S et al: Cavernous haemangioma of breast in a man with contralateral gynaecomastia and a family history of breast carcinoma. Histopathology. 13(2):221-3, 1988
                                                                                              38. Marymont JV et al: Maffucci's syndrome complicated by carcinoma of the breast, pituitary adenoma, and mediastinal hemangioma. South Med J. 80(11):1429-31, 1987
                                                                                              39. Schwartz IS et al: Hemangioma of male breast. Am J Surg Pathol. 11(9):739, 1987
                                                                                              40. Jozefczyk MA et al: Vascular tumors of the breast. II. Perilobular hemangiomas and hemangiomas. Am J Surg Pathol. 9(7):491-503, 1985
                                                                                              41. Lesueur GC et al: Incidence of perilobular hemangioma in the female breast. Arch Pathol Lab Med. 107(6):308-10, 1983
                                                                                              42. Donnell RM et al: Angiosarcoma and other vascular tumors of the breast. Am J Surg Pathol. 5(7):629-42, 1981