Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases

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

Radiology Case Reports (Jul 2022)

Small vascular lesions of the breast diagnosed by magnetic resonance imaging‐guided vacuum assisted biopsy: Report of 2 cases

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

Affiliations

Tommaso Perretta, MD, PhD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Rosaria Meucci, MD: Department 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, Italy
Maria Lina Serio, MD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy; Corresponding author.
Aurelia Caliandro, MD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Michela Censi, MD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Emanuela Beninati, MD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Alberto Collura, MD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy
Gianluca Vanni, MD, PhD: UOSD Breast Unit, Department of Surgical Science, University Hospital of Rome “Tor Vergata”, Rome, Italy
Erica Giacobbi, MD: Anatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
Lucia Anemona, MD, PhD: Department of Experimental Medicine and Surgery, Tor Vergata Hospital Polyclinic, Rome, Italy
Chiara Adriana Pistolese, MD, PhD: Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy

Journal volume & issue: Vol. 17, no. 7
pp. 2492 – 2500

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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