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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Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Radiology Case Reports
Subjects:
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.
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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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