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Rare coexistence of a cerebellar hemangioblastoma and Angiomatosis of the breast without underlying phakomatosis: case report.
EP30652
Poster Title: Rare coexistence of a cerebellar hemangioblastoma and Angiomatosis of the breast without underlying phakomatosis: case report.
Submitted on 25 Sep 2019
Author(s): U. Wegner, S. Balschat, T. Decker, A. G. Ryan,
Affiliations: Norfolk and Norwich University Hospitals, UK; Dietrich Bonhoeffer Klinikum Neubrandenburg, Germany; University Hospital Waterford, Ireland, Manchester University Hospitals UK
This poster was presented at BIR Annual Congress 2019
Poster Views: 58
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Poster Information
Abstract: Title:
Rare coexistence of a cerebellar hemangioblastoma and Angiomatosis of the breast without underlying phacomatosis: case report.
Purpose and objectives:
Angiomatosis of the breast is unusual benign vascular process which may affect middle aged women and simulate carcinoma. We report unique case of a female patient with cerebellar hemangioblastoma and coexisting breast angiomatosis.
We discuss the neuroradiology and breast imaging, illustrating the diagnostic pearls and pitfalls in the setting of this extremely uncommon combination.
Case report:
A 50- year old patient with a history of right sided cerebellar hemangioblastoma resection previously, presented with a recurrent left sided palpable breast mass. She was referred for triple breast assessment and subsequent ultrasound-guided biopsy. Ultrasound and mammography features were suspicious and showed an ill- defined upper outer quadrant mass. The ipsilateral axilla was normal.
Histopathology showed no evidence of malignancy and revealed a diagnosis of breast angiomatosis.
These vascular tumors of the breast are very rare, present diagnostic challenges and are prone to local recurrence.
Complete excision with clear margins is recommended. Mastectomy is a consideration for diffuse disease that cannot be fully cleared with Wide local excision.
Conclusions:
Cerebellar hemangioblastoma and breast angiomatosis is a very unique combination, in particular in the absence of an underlying phacomatosis.
More cases need to be reported to establish significance of this coexistence.
Radiological features of angiomatosis mimicking malignancy without pathognomonic imaging signs have been visualized.
Knowledge of these rare vascular breast tumors is the key to making this unusual diagnosis and helps to reduce the number of radical surgical procedures.
Summary:
Angiomatosis of the breast is a very unusual vascular tumor and only limited cases have been reported. Moreover, cerebellar hemangioblastoma and breast angiomatosis is a very exceptional combination and research needs to be performed to establish the exact significance of this coexistence. It remains unknown, if there is underlying genetic abnormality that could contribute to formation of both vascular tumors in this particular case.
References:
REFERENCES:
1. Yasmin Mekhail, Andrew Prather, R. Jared Weinfurtner. Focal angiomatosis of the breast with MRI and histologic features. Radiol Case Rep. 2017 Jun; 12(2): 219-222
2. Ryan Reusche, Sebastian Winocour, Amy Degnim, Valerie Lemaine. Diffuse dermal angiomatosis of the breast: a series of 22 cases from a single institution. Gland Surg. 2015 Dec; 4(6): 554-560.
3. Lanka Krishna, Padma Sunetri, Podili Venkata Ramana, Shravan Kumar. Angiomatosis of breast – an extremely rare benign vascular lesion of the breast: a case report. International Surgery Journal 2015 Feb; 2(1):115-117.
4. Rebecca S. Leung, Sona V. Biswas, Mark Duncan, Sheila Rankin. Imaging Features of von Hippel-Lindau Disease. RadioGraphics 2008 Jan 1, Vol. 28, No. 1
5. J. Ji, K. Hemminki. Familial blood vessel tumors and subsequent cancers. Annals of Oncology 2007 Jul. 1260-1267.
6. Ali Nawaz Khan, Ian Turnbull, Riyadh Al-Okaili. Imaging in Von Hippel-Lindau Syndrome. Medscape Nov 2015.<
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