1 Cases Journal 2009 Vol: 2(1):7005. DOI: 10.1186/1757-1626-2-7005

A rare coexistence of concurrent breast hemangioma with fibroadenoma: a case report

We report the case of a 38-year-old Asian, Indian female with capillary hemangioma breast in coexistence with the commonly occurring fibroadenoma. Clinical examination of the breast revealed a 4 cm diameter lump. Mammography revealed a well defined slightly hypoechoic lesion with smooth contours. A lumpectomy was performed. Histopathology confirmed the diagnosis of a completely encapsulated fibroadenoma coexistent with a capillary hemangioma in the adjacent breast tissue. The rarity of literature on breast hemangioma especially capillary type with coexisting fibroadenoma deserves mention.

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Figures
Figure 1: Low power view showing a well circumscribed lobular lesion surrounded by normal breast tissue. (H&EX10x) composed of capillary sized channels, few of them showing red cells. (Inset) (H&EX40x). Figure 2: CD34 immunostaining revealing strong reactivity in the lining endothelial cells, confirming the tumor's vascular origin. (H&EX40x).
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References
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    • . . . Hemangiomas are benign vascular tumors that are rarely seen in the breast although they have been found incidentally on microscopy of biopsy material for other indications 12 . . .
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    • . . . Grossly it is well circumscribed however microscopically it may appear to merge with surrounding tissue, although it never invades or destroys lobules 35 . . .
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