Skin Diseases & Skin Care

Description

A Vietnamese woman who was 34 years old and had a typical family and medical history complained of pain in her right breast. The mammogram revealed that there was no abnormal microcalcification, despite the presence of ipsilateral axillary lymph nodes. The clinical examination revealed a large, regular mass in the right breast. The goliath mass with poorly characterized edge was obviously seen in the right bosom in correlation with left bosom. The mass caused distortion in the structure. Attractive reverberation imaging (X-ray) uncovered a homogenously hypointense, clear cut mass estimating 105 × 77 mm which involved entire right bosom. The patient underwent fine needle aspiration biopsy of the right breast mass in our hospital, and the histopathological confirmation was a cavernous hemangioma. The patient was finally discharged without any interventions. The mass was homogeneously hyperintense on T2W with fat saturation and diffusion-weighted imaging. The dynamic contrast-enhanced images revealed that the mass manifested peripheral nodular discontinuous enhancement that progressed centripetally on delayed images.

Malignant Vascular Tumors

Pham Xuan Dung, Nguyen Minh Duc, and Ho Xuan Tuan all contributed to the initial draft. Nguyen Minh Duc, Nguyen Anh Huy, and Cao Minh Tri all contributed to the diagnostic procedure, imaging collection, and interpretation. Cao Minh Tri, Nguyen Anh Huy, Au Nguyet Dieu, and Nguyen Minh Duc made significant commitments to gather patient information and clinical information examination. The final, published version of the manuscript has been reviewed, revised, and approved by all authors. The submission of our study for publication was the responsibility of all authors. Vascular tumors of the breast are uncommon and typically fall into one of two categories: hemangiomas or angiosarcomas. During a pathologic examination, benign vascular tumors of the breast are frequently discovered by accident. Low-grade angiosarcomas, which are malignant vascular tumors, may resemble breast hemangiomas. The imaging characteristics of breast hemangiomas and angiosarcomas across various imaging modalities are shown in this article.

Low-grade angiosarcomas, which are malignant tumors that originate from the endothelial cells of blood vessels, may resemble breast hemangiomas. Bosom angiosarcomas will quite often metastasize through hematogenous spread, as opposed to lymphatic spread. Bosom angiosarcomas might metastasize to the skin, subcutaneous tissues, lungs, liver, mind, omentum, ovaries, and bone. Angiosarcomas are additionally characterized into essential and auxiliary sorts. Primary breast angiosarcomas typically affect women between the ages of 30 and 40, accounting for 0.04 percent of all breast cancers. Typically, patients with primary breast angiosarcoma present with a palpable breast mass, fullness, or swelling. Primary angiosarcomas do not appear to be associated with any known risk factors. Essential angiosarcomas are intriguing neoplasms that are not connected with radiation openness. Primary angiosarcomas have a poor prognosis and are frequently aggressive. With a latent period of 5 to 6 years, secondary breast angiosarcomas are frequently associated with breast cancer treatment with radiation. Another risk factor for the development of secondary breast angiosarcomas has been identified as chronic lymphedema. A mass or painless bruising may present in patients with secondary angiosarcoma. Various clinical manifestations, such as a purple discoloration, eczematous rash, hematoma-like swelling, and diffuse breast swelling, have been described. Secondary breast angiosarcomas typically affect older women between the ages of 60 and 80, with an incidence of 0.09 and 0.16 percent, respectively.

Abnormal Hemangiomas

Bosom hemangiomas are harmless vascular cancers that contain flimsy walled, blood-occupied vascular spaces isolated by sinewy septa and intermittent phleboliths. Hemangiomas of the breast can be felt and typically occur in the subcutaneous or subdermal layers. The majority of breast hemangiomas are unintended outcomes of breast biopsies, surgical pathology samples, and autopsies. Hemangiomas of the breast typically measure less than 2 cm in size. Microscopically, breast hemangiomas are managed conservatively, often with imaging follow-up; However, when the histological features on a core biopsy are not entirely typical for categorization of the lesion as a hemangioma, hemangiomas may require excisional biopsy for definitive diagnosis. Extraction is prescribed for abnormal hemangiomas to reject angiosarcoma. Hemangioma of the breast is an uncommon tumor type that is typically small, superficially located, and impalpable. Currently, when the vascular lesion is larger than 2 cm, surgical excision is recommended for patients. Vascular lesions with Hemangioma of the breast Cavernous hemangiomas account for the majority of cases. A rare case of a large, palpable mixed breast hemangioma that was found in the parenchymal layer and was examined with magnetic resonance imaging, mammography, and sonography is the subject of our report. When a benign breast hemangioma presents with a suspicious shape and margin on sonography, magnetic resonance imaging findings of slow and persistent enhancement from the center to the periphery are helpful in defining the condition. Here, we report the instance of a 25-year-elderly person who had a blended hemangioma that was sufficiently enormous to be obvious and was situated in the parenchymal layer of the bosom, alongside its mammography, ultrasonography, and X-ray discoveries. The clinical presentation, radiological findings, and pathological subtype of this case are all one of a kind. Advanced mammography (Lorad Selenia, Hologic, Danbury, CT) was acted in the standard craniocaudal and mediolateral sideways positions. The upper inner quadrant of the left breast over the palpable area contained a lobular low-density mass that obscured but mostly circumscribed on mammography. There were no associated calcifications or areas of architectural distortion.

In view of its edge and shape, the patient's bosom mass was evaluated as bosom imaging detailing and information framework class 4. A capillary hemangioma was discovered after a 14-gauge core biopsy guided by ultrasonography was carried out. Despite the benign core biopsy result, the patient was scheduled for total surgical excision due to the size of the lesion and patient discomfort. In conclusion, a breast hemangioma cannot be ruled out if there is a palpable mass with an irregular shape, no sonographic margins alocation. For this situation, Xray finding of the sluggish and steady improvement from focus to outskirts was valuable in portraying the harmless bosom hemangioma. Although lower-grade exhibit persistent enhancement kinetics, in contrast to our case, they are extremely vascular lesions with larger draining veins and more prominent enhancement.