Masson's tumor of the reconstructed breast

Intravascular papillary endothelial hyperplasia (Masson's Tumor) is a rare benign endothelial vascular lesion that can mimic angiosarcoma if not properly recognized. It represents less than 2% of all vascular tumors, but has been seen in the postradiation setting, which also makes differentiati...

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Main Authors: Ian Klonk, MD, Stephen P. Povoski, MD, Gary Tozbikian, MD, Jeffrey R. Hawley, MD
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332300081X
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author Ian Klonk, MD
Stephen P. Povoski, MD
Gary Tozbikian, MD
Jeffrey R. Hawley, MD
author_facet Ian Klonk, MD
Stephen P. Povoski, MD
Gary Tozbikian, MD
Jeffrey R. Hawley, MD
author_sort Ian Klonk, MD
collection DOAJ
description Intravascular papillary endothelial hyperplasia (Masson's Tumor) is a rare benign endothelial vascular lesion that can mimic angiosarcoma if not properly recognized. It represents less than 2% of all vascular tumors, but has been seen in the postradiation setting, which also makes differentiating it from angiosarcoma crucial. It is classically characterized as a circumscribed, intravascular mass that is hypoechoic on ultrasound, and T1 isointense and T2 heterogenous on MRI with variable enhancement. Histologically, it demonstrates papillary architecture without significant atypia, and associated vascular thrombus. Although it typically occurs in the soft tissues of the trunk and neck, a very small percentage of cases have been found in the breast. The following case will involve a 64-year-old female with a Masson's tumor involving the capsule of her left breast implant, in the setting of previously treated ductal carcinoma in situ, which was surgically excised and irradiated over 20 years prior.
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spelling doaj.art-7e0f19d0ea7e485cafd236faf312a2082023-04-01T08:46:09ZengElsevierRadiology Case Reports1930-04332023-05-0118517481753Masson's tumor of the reconstructed breastIan Klonk, MD0Stephen P. Povoski, MD1Gary Tozbikian, MD2Jeffrey R. Hawley, MD3Department of Radiology, The Ohio State University Medical Center Columbus, 395 W 12th Ave # 4, Columbus, OH 43210 USA; Corresponding author.Department of Surgery, Division of Surgical Oncology, The Ohio State University Medical Center, Columbus, OH, USADepartment of Pathology, The Ohio State University Medical Center, Columbus, OH, USADepartment of Radiology, Division of Breast Imaging, The Ohio State University Medical Center, Columbus OH, USAIntravascular papillary endothelial hyperplasia (Masson's Tumor) is a rare benign endothelial vascular lesion that can mimic angiosarcoma if not properly recognized. It represents less than 2% of all vascular tumors, but has been seen in the postradiation setting, which also makes differentiating it from angiosarcoma crucial. It is classically characterized as a circumscribed, intravascular mass that is hypoechoic on ultrasound, and T1 isointense and T2 heterogenous on MRI with variable enhancement. Histologically, it demonstrates papillary architecture without significant atypia, and associated vascular thrombus. Although it typically occurs in the soft tissues of the trunk and neck, a very small percentage of cases have been found in the breast. The following case will involve a 64-year-old female with a Masson's tumor involving the capsule of her left breast implant, in the setting of previously treated ductal carcinoma in situ, which was surgically excised and irradiated over 20 years prior.http://www.sciencedirect.com/science/article/pii/S193004332300081XMasson'sIntravascular papillary endothelial hyperplasiaBreast
spellingShingle Ian Klonk, MD
Stephen P. Povoski, MD
Gary Tozbikian, MD
Jeffrey R. Hawley, MD
Masson's tumor of the reconstructed breast
Radiology Case Reports
Masson's
Intravascular papillary endothelial hyperplasia
Breast
title Masson's tumor of the reconstructed breast
title_full Masson's tumor of the reconstructed breast
title_fullStr Masson's tumor of the reconstructed breast
title_full_unstemmed Masson's tumor of the reconstructed breast
title_short Masson's tumor of the reconstructed breast
title_sort masson s tumor of the reconstructed breast
topic Masson's
Intravascular papillary endothelial hyperplasia
Breast
url http://www.sciencedirect.com/science/article/pii/S193004332300081X
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