Diagnostic Pitfalls and Imaging-Pathologic Correlation in Benign Breast Vascular Lesions Mimicking Malignancy: A Case-Based Systematic Review.
Am SurgApr 15, 2026 (epub)
Gen Li, Ge Gao, Suxia Wang et al.
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In 30 seconds
This systematic review examined benign breast vascular tumors that can mimic malignancy, analyzing clinical, imaging, and pathological features. The review included 10 articles and highlighted that these tumors can present with signs resembling malignancy, leading to misdiagnosis. Most patients had a good prognosis, with all remaining recurrence-free during follow-up.
Key findings
- Benign breast vascular tumors can present with symptoms like skin redness and swelling, mimicking inflammatory breast carcinoma.
- Imaging may show malignant signs, such as irregular margins and rapid enhancement, elevating BI-RADS classification.
- Atypical cells on cytology can lead to misinterpretation, complicating diagnosis.
Why it matters
Understanding the characteristics of benign breast vascular lesions is crucial for clinicians to avoid misdiagnosis and unnecessary interventions. Accurate differentiation from malignancy can significantly impact patient management and outcomes.