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Case Report
A large hemangioma of the breast influencing the management of breast cancer
1 MBBS/MPHTM/MSurg, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
2 BA/BSc/BMed/MSc/FRACS, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
3 MBBS/FRACS, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
4 BCom/BMBS/PhD/FRACS, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
Address correspondence to:
Madeleine Louise Kelly
Royal Brisbane and Women’s Hospital, Butterfield Street, Herston, Brisbane, QLD 4029,
Australia
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Article ID: 100123Z12MK2023
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How to cite this article
Kelly ML, Williams M, Wong C, Kwok GT. A large hemangioma of the breast influencing the management of breast cancer. J Case Rep Images Surg 2023;9(2):12–15.ABSTRACT
Introduction: Hemangiomas are a rare well-demarcated proliferation of mature blood vessels lined by a single layer of endothelial cells occurring in up to 1.3% of mastectomy specimens. Accurate diagnosis often requires the incorporation of clinical, radiological, and histological features.
Case Report: A 61-year-old female presented with a self-detected right breast lesion. Initial work-up revealed a right breast lesion at 12 o’clock with core biopsy confirming intermediate grade ductal carcinoma in situ. The management was complicated by the presence of a large right chest wall congenital cavernous hemangioma. Wide local excision of the breast lesion was performed with no sentinel lymph node biopsy done due to extensive vascular malformation. Further excision of margins was required to achieve surgical clearance.
Conclusion: Despite its rarity, clinicians should be aware of the potential occurrence of a hemangioma on the breast and potential implications for the surgical management of breast cancer.
Keywords: Breast, Ductal carcinoma, Hemangioma
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Author Contributions
Madeleine Louise Kelly - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Marli Williams - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Clement Wong - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Grace T Kwok - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Madeleine Louise Kelly et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
