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. 2017 Aug;79(4):354-356.
doi: 10.1007/s12262-016-1559-x. Epub 2016 Oct 19.

Quiescent Volcano-Chest Wall Hemangioma

Elroy Saldanha  1 , John J S Martis  1 , B Vinod Kumar  1 , Rithesh J D'Cunha  2 , V Vijin  1
Affiliations

Quiescent Volcano-Chest Wall Hemangioma

Elroy Saldanha et al. Indian J Surg. 2017 Aug.

Abstract

Chest wall hemangiomas are rare tumors that may originate within the soft tissue or from the ribs. Intramuscular hemangioma is infrequent, representing less than 1 % of all hemangiomas, and the localization in the chest wall is even less frequent. They are typically cutaneous in location, large, and poorly circumscribed and can be locally destructive. We present a case of a 34-year-old lady presented with firm lump 3 × 3 cm in left upper and inner quadrant of left breast well defined borders, non-pulsatile and restricted mobility. Sono-mammogram was suggestive of ill-defined lesion at 10 o'clock position. CT chest was conclusive of chest wall hemangioma. The patient underwent excision of the lump. HPE was suggestive of cavernous hemangioma. Cavernous hemangioma typically manifest at birth or before the age of 30 years. CT is more sensitive than plain radiography in detecting phleboliths, which are present in approximately 30 % of cavernous hemangiomas. Surgical excision would be treatment of choice. In this case, the site of the lesion was in the breast clinically mimicking that of a fibroadenoma which warrants hemangioma as a differential diagnosis.

Keywords: Cavernous hemangioma; Chest wall hemangioma; Fibroadenoma; Phleboliths.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
CECT chest—3.5 × 3.5-cm lobulated mass deep to breast tissue and pectorals in third intercostal space with intra-thoracic, extra-pleural component, and phleboliths suggestive of chest wall hemangioma
Fig. 2
Fig. 2
Intra-op finding: hemangioma in the left parasternal region (as seen from the head end of the patient)
Fig. 3
Fig. 3
Multiple thin-walled blood vessels suggestive of cavernous hemangioma
See this image and copyright information in PMC

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