Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases
Vascular lesions of the breast comprise a heterogeneous group that includes a variety of benign, atypical, and malignant lesions. These are a diagnostic challenge given variable clinical, radiological and pathological presentation, especially when they are small and asymptomatic. We present 2 cases...
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Elsevier
2022-07-01
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Series: | Radiology Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322002722 |
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author | Tommaso Perretta, MD, PhD Rosaria Meucci, MD Maria Lina Serio, MD Aurelia Caliandro, MD Michela Censi, MD Emanuela Beninati, MD Alberto Collura, MD Gianluca Vanni, MD, PhD Erica Giacobbi, MD Lucia Anemona, MD, PhD Chiara Adriana Pistolese, MD, PhD |
author_facet | Tommaso Perretta, MD, PhD Rosaria Meucci, MD Maria Lina Serio, MD Aurelia Caliandro, MD Michela Censi, MD Emanuela Beninati, MD Alberto Collura, MD Gianluca Vanni, MD, PhD Erica Giacobbi, MD Lucia Anemona, MD, PhD Chiara Adriana Pistolese, MD, PhD |
author_sort | Tommaso Perretta, MD, PhD |
collection | DOAJ |
description | Vascular lesions of the breast comprise a heterogeneous group that includes a variety of benign, atypical, and malignant lesions. These are a diagnostic challenge given variable clinical, radiological and pathological presentation, especially when they are small and asymptomatic. We present 2 cases of these rare lesions of the breast which were occult to mammographics and ultrasound studies. Both the lesions were detected only on magnetic resonance imaging, most helpful in the diagnosis of these rare tumor. Histopathological examinations following the magnetic resonance guided biopsies, were initially interpreted as negative for breast cancer in both cases. These turned out to be respectively a low grade angiosarcoma and a benign vascular lesion after a new histopathological examination following a larger magnetic resonance guided biopsies performed in light of the radiology-pathology discordance. Although rare, it is important to consider vascular tumours of the breast; radiologists need to be aware such tumors may present non-specific imaging features. |
first_indexed | 2024-04-12T17:07:05Z |
format | Article |
id | doaj.art-2eda3737f3cf4b288625183523388c58 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-12T17:07:05Z |
publishDate | 2022-07-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-2eda3737f3cf4b288625183523388c582022-12-22T03:23:55ZengElsevierRadiology Case Reports1930-04332022-07-0117724922500Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 casesTommaso Perretta, MD, PhD0Rosaria Meucci, MD1Maria Lina Serio, MD2Aurelia Caliandro, MD3Michela Censi, MD4Emanuela Beninati, MD5Alberto Collura, MD6Gianluca Vanni, MD, PhD7Erica Giacobbi, MD8Lucia Anemona, MD, PhD9Chiara Adriana Pistolese, MD, PhD10Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy; UOSD Breast Unit, Department of Surgical Science, University Hospital of Rome “Tor Vergata”, Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy; Corresponding author.Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyUOSD Breast Unit, Department of Surgical Science, University Hospital of Rome “Tor Vergata”, Rome, ItalyAnatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyDepartment of Experimental Medicine and Surgery, Tor Vergata Hospital Polyclinic, Rome, ItalyDepartment of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyVascular lesions of the breast comprise a heterogeneous group that includes a variety of benign, atypical, and malignant lesions. These are a diagnostic challenge given variable clinical, radiological and pathological presentation, especially when they are small and asymptomatic. We present 2 cases of these rare lesions of the breast which were occult to mammographics and ultrasound studies. Both the lesions were detected only on magnetic resonance imaging, most helpful in the diagnosis of these rare tumor. Histopathological examinations following the magnetic resonance guided biopsies, were initially interpreted as negative for breast cancer in both cases. These turned out to be respectively a low grade angiosarcoma and a benign vascular lesion after a new histopathological examination following a larger magnetic resonance guided biopsies performed in light of the radiology-pathology discordance. Although rare, it is important to consider vascular tumours of the breast; radiologists need to be aware such tumors may present non-specific imaging features.http://www.sciencedirect.com/science/article/pii/S1930043322002722Vascular breast lesionsMagnetic resonance imagingMRI guided vacuum assisted breast biopsy |
spellingShingle | Tommaso Perretta, MD, PhD Rosaria Meucci, MD Maria Lina Serio, MD Aurelia Caliandro, MD Michela Censi, MD Emanuela Beninati, MD Alberto Collura, MD Gianluca Vanni, MD, PhD Erica Giacobbi, MD Lucia Anemona, MD, PhD Chiara Adriana Pistolese, MD, PhD Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases Radiology Case Reports Vascular breast lesions Magnetic resonance imaging MRI guided vacuum assisted breast biopsy |
title | Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases |
title_full | Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases |
title_fullStr | Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases |
title_full_unstemmed | Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases |
title_short | Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases |
title_sort | small vascular lesions of the breast diagnosed by magnetic resonance imaging guided vacuum assisted biopsy report of 2 cases |
topic | Vascular breast lesions Magnetic resonance imaging MRI guided vacuum assisted breast biopsy |
url | http://www.sciencedirect.com/science/article/pii/S1930043322002722 |
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