El-Karim Ghassan Awad, Kreml Jennifer, El-Karim Lima Awad, Dua Hemi
Department of Medical Imaging, Faculty of Medicine, University of Toronto, 63 McCaul St 4th floor, Toronto, ON, Canada, M5T 1W7.
Sinai Health Systems, Toronto, Ontario, Canada.
Radiol Case Rep. 2020 Jun 28;15(8):1386-1388. doi: 10.1016/j.radcr.2020.05.074. eCollection 2020 Aug.
We describe a case of a benign breast cavernous hemangioma in a 77-year-old male patient, which is a rare entity with less than 20 cases published in the literature since 1936. The mammographic and sonographic features of breast hemangiomas are nonspecific and tissue sampling is necessary as the diagnosis of exclusion is male breast carcinoma. Core biopsy is a reliable diagnostic tool for breast hemangiomas. Differentiating between benign breast hemangiomas and angiosarcomas is of outmost importance to appropriate care management as the former can be treated conservatively with follow-up or surgical excision and the latter usually managed aggressively with mastectomy.
我们报告一例77岁男性患者的乳腺良性海绵状血管瘤,这是一种罕见病例,自1936年以来文献报道不足20例。乳腺血管瘤的乳腺X线摄影和超声特征不具有特异性,由于排除诊断为男性乳腺癌,因此需要进行组织采样。粗针活检是诊断乳腺血管瘤的可靠工具。区分乳腺良性血管瘤和血管肉瘤对于恰当的治疗管理至关重要,因为前者可通过随访或手术切除进行保守治疗,而后者通常需要积极进行乳房切除术。