Male breast hemangioma in an oncologic patient: a rare entity

Abstract

The male breast can be affected by a variety of benign and malignant entities. Breast hemangioma is a rare benign vascular tumor occurring in both genders but is rarer in men with only few cases reported in the literature. We report a case of a 78-year-old male patient with known history of advanced laryngeal cancer previously treated with radiotherapy who was addressed to our emergency department in the setting of severe dyspnea. A neck and chest computer tomography were performed revealing post radiation changes of the neck and no significant pulmonary abnormalities. An incidental left breast nodule was noted and considered indeterminate. The mammogram and breast ultrasound revealed a well-circumscribed hyperdense and hypoechoic oval nodule, without spiculations nor calcifications. It also demonstrated a slightly heterogeneous echo pattern with no posterior acoustic shadowing. A core needle biopsy was performed, and the histopathology analysis was compatible with a cavernous haemangioma.