International Meeting on

Clinical and Medical Case Report

Scientific Program

Urszula Wegner

Urszula Wegner

Norfolk and Norwich University Hospitals, UK

Title: Rare coexistence of a cerebellar hemangioblastoma and Angiomatosis of the breast without underlying phacomatosis: case report

Biography:

Urszula is a top performing Senior Breast Fellow Radiologist who is recognized for her aptitude in research of breast imaging. She has worked across the UK and Europe in public and NHS hospitals, yielding a strong academic and professional development record. These have included Breast ImagingObservership in Germany and Fellowship in Ireland respectively, National Diploma in Radiology &Diagnostic Imaging, and the EDIR Certificate. These are complemented by practical training, doctoral examinations, medical studies and continued research studies.

Abstract

Purpose and objectives: Angiomatosis of the breast is unusual benign vascular process which may affect middle aged women and simulate carcinoma. This may be associated with neurocutaneous syndrome or appear in isolation. 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 the 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.

 

  • Case Reports on Cardiology
  • Case Reports on Dermatology
  • Case Reports on Dentistry
  • Case Reports on Neurology
  • Case Reports on Nursing
  • Case Reports on Ophthalmology
  • Case Reports on Pediatrics
  • Case Reports on Surgery
  • Case Report for Anesthesiology
  • Case Report for Oncology