Maria Florencia Andraca, Presenter: Nothing to Disclose

Erika Magdalena Meisen MD, Abstract Co-Author: Nothing to Disclose

Laura Soledad Muscillo MD, Abstract Co-Author: Nothing to Disclose

Maria Emilia Diaz, Abstract Co-Author: Nothing to Disclose

Florencia Pia Sojo, Abstract Co-Author: Nothing to Disclose

Eduardo Pablo Eyheremendy MD, Abstract Co-Author: Nothing to Disclose

The aim of this paper is to describe the clinical and imaging characteristics of childhood hemangiomas in the breast. The major teaching points of this exhibit are:1-Solid nodules with benign clinical features.2-Ultrasonography they may be echogenic or slightly heterogeneous.3-They have positive doppler flow in color doppler study, which is the fundamental pillar of this diagnostic entity.  

The childhood capillary hemangiomas are benign vascular tumors that appear in the first months of life and are characterized by an initial proliferative phase and a later phase of regression. They are unusual lesions that may be located in both the breast parenchyma and the subcutaneous tissues surrounding the gland. The most important feature is their tendency to regression. Lesions appear in the first weeks of life, grow for a few months and from the first year of life initiate a regression process leading to the total disappearance of the lesion in 95% of cases.  There are ultrasound signs that force us to think about this entity, both in 2D and color doppler study, which correlate with histopathological findings. Treatment is expectant in the first place, unlike breast hemangiomas in adults, in which excision is recommended to avoid being confused with an underlying low-grade angiosarcoma, which invades the subcutaneous tissue.  

http://abstract.rsna.org/uploads/2014/14007502/14007502_vfxw.pdf

Andraca, M, Meisen, E, Muscillo, L, Diaz, M, Sojo, F, Eyheremendy, E, Childhood Hemangiomas in the Breast.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14007502.html