Surgical Pathology Criteria

Angiomatosis of the Breast

Differential Diagnosis

Angiosarcoma of the Breast Angiomatosis of the Breast
Variable patterns: channels, papillae, spindle cells Uniform pattern of vessels
Usually a t least focal cytologic atypia Cytologically bland
Invades lobules Does not invade lobules
Frequent papillae and tufting No papillae or tufting
  • Complete excision and examination are required to insure accurate diagnosis of an apparently benign vascular lesion in the breast
  • Angiomatosis is an extremely rare lesion; it is a diagnosis that requires consultation
  • Angiomatosis Perilobular Hemangioma Hemangioma Venous Hemangioma
    Mass lesion Microscopic, incidental lesion Mass lesion Mass lesion
    Diffuse, infiltrating Localized Localized Localized
    Cavernous Predominantly capillary Usually cavernous Cavernous
    Complete excision and examination is required for the diagnosis of any benign vascular lesion in the breast

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