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Sonographic and Mammographic Appearances of Breast Hemangioma

¹ Department of Radiology, Cedar Breast Clinic, McGill University Health Center, Royal Victoria Hospital, 687 Pine Ave. W, Montréal, PQ H3G 1A4, Canada.
² Département de Radiologie, Centre d'Imagerie du Sein, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, PQ, Canada.
³ Department of Radiology, Sir Mortimer B. Davis-Jewish General Hospital, Montréal, PQ, Canada.
⁴ Département de Radiologie, Hôpital Maisonneuve-Rosemont, Montréal, PQ, Canada.

View larger version (69K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —Asymptomatic 75-year-old woman. Right mediolateral oblique mammogram shows 0.8-cm mass in superior aspect of breast. Mass (arrow) displays lobular shape and circumscribed margins.

View larger version (73K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —Asymptomatic 75-year-old woman. Close-up view of mass, also in right mediolateral oblique orientation.

View larger version (103K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —Asymptomatic 75-year-old woman. Breast sonogram shows 0.8-cm oval solid mass (arrows) with circumscribed margins, parallel orientation, abrupt interface, neutral sound transmission, and complex echotexture. Surgical excision revealed hemangioma, cavernous type.

View larger version (65K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2A —Asymptomatic 62-year-old woman. Left craniocaudal screening mammogram shows 1.2-cm lobular mass (arrow) with microlobulated margins in upper inner aspect of breast. Mass (arrow) shows interval increase in size compared with previous mammogram 8 years earlier (B).

View larger version (57K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2B —Asymptomatic 62-year-old woman. Left craniocaudal screening mammogram shows 1.2-cm lobular mass (arrow) with microlobulated margins in upper inner aspect of breast. Mass (arrow) shows interval increase in size compared with previous mammogram 8 years earlier (B).

View larger version (133K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2C —Asymptomatic 62-year-old woman. Breast sonogram using tissue harmonic imaging shows 1.1-cm subtle mass superficially situated against fatty background. Lesion is ovoid with microlobulated margins, hypoechoic echotexture, parallel orientation, and mild posterior acoustic shadowing (arrows). Sonographically guided core biopsy using 14-gauge needle yielded cavernous hemangioma. Follow-up imaging after 2 years (not shown) confirmed stability of lesion.

View larger version (98K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A —46-year-old woman with palpable mass in lateral aspect of left breast. Left craniocaudal close-up image (A) and left mediolateral oblique image (B) show mass (arrow) displaying irregular shape and microlobulated margin and having no microcalcifications.

View larger version (87K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B —46-year-old woman with palpable mass in lateral aspect of left breast. Left craniocaudal close-up image (A) and left mediolateral oblique image (B) show mass (arrow) displaying irregular shape and microlobulated margin and having no microcalcifications.

View larger version (108K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C —46-year-old woman with palpable mass in lateral aspect of left breast. Breast sonogram shows 1.5-cm solid mass with irregular shape and indistinct margins (arrows), parallel orientation, neutral sound transmission, and hyperechoic echotexture. Sonographically guided biopsy using 14-gauge needle yielded capillary hemangioma. Surgical excision confirmed hemangioma, capillary type.

View larger version (124K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4A —Asymptomatic 58-year-old woman with screening-detected mass. Mammogram of right breast showed 1-cm mass. Radiograph obtained during stereotactic biopsy with 14-gauge needle in place shows round mass with circumscribed margins and punctuate microcalcifications. Breast sonogram did not identify any mass. Stereotactically guided biopsy using 14-gauge needle yielded cavernous hemangioma.

View larger version (159K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4B —Asymptomatic 58-year-old woman with screening-detected mass. Mammogram of right breast showed 1-cm mass. Follow-up right craniocaudal close-up mammogram obtained 2 years later shows 0.7-cm mass (arrow).

View larger version (6K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 5 —Scatterplot shows size of 15 masses that were visible on mammography.

View larger version (5K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 6 —Scatterplot shows size of nine masses that were visible on sonography.

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