I'm a bit confused. If the "possible" diagnosis" is the result of a pathology report, then I assume she has already had a biopsy and the examination of that tissue is what has resulted in the "possible" diagnosis. If the tissue in question is only 2/3" why wasn't it just completely removed with the biopsy? It sounds like the bottom line is that your wife doesn't have a confirmed diagnosis and therefore could have anything from a benign spider vein to inflammatory breast cancer. I would definitely recommend excision of the mass to get a definitive diagnosis, or at the very least get a second opinion on the pathology results. I under her concern about breast surgery, but a biopsy now is certainly better than a mastectomy later.
Breast Cancer Questions
Asked by MadhuKar on Monday, February 18, 2013
My wife has been detected with "possibly Capillary Hemangioma" in her left breast by one of the renowned hospital's Pathology lab in New Jersey. Our consulting surgeon doctor is recommending for a surgery to remove the tissue which 2/3" based on the fact that this tissue may develop into cancer as they are not sure of the characteristics of the vascular tissue "Hemangioma". Her argument is that removal may eliminate the doubt of having a cancer. While we appreciate her opinion but we are kind of hesitant since my wife is getting quite stressed out with the thought of surgery done in her breast.
I would like to ask, if you also believe that Hemangioma has a risk to get converted into cancer and therefore surgery is the only option? If there is a risk of cancer, can we consider getting laser treatment done? We would highly appreciate your timely response as we are loosing time every day.
3 Answers from the Community
Nancy, Thanks for your response. Let me try and attempt to bring some clarity into the aspects you mentioned. Yes, my wife has undergone the biopsy in Jan 2013 and only after conducting the pathology test on the tissue, surgeon is suggesting of taking out the hemangioma out her breast. My wife is also experiencing Hematome since after the biopsy which has not been absorbed even after 4 weeks of biopsy. Since the pathology report says "possibly capillary Hemangioma" that raises doubt in my mind and started wondering if at all we need to get the surgery done. Alternatly, can laser surgery be a better alternate as oppossed to invasive procedure. Appreciate some guidance
I am an oncology nurse and your question is a good one. Normally, highly vascular tumors are benign and tend to resolve on their own. Hemangiomas are considered this type however, there have been cases where some breast cancer patients have had a hemangioma that masked or hid a malignant angiosarcoma underneath. Conventional wisdom dictates that a hemangioma be removed or excised so that the threat of angiosarcoma can be ruled out. Angiosarcomas tend to develop closer to the chest wall and can be hidden hehind a hemangioma. You stated that your wife also presented with a hematoma and normally these dissipate on their own. If this was the case post biopsy and is still evident then one has to wonder what is still feeding it to perpetuate. I understand your wife's concern regarding an impending surgical procedure, but sometimes it is better to withstand a smaller incision now then to have to go through a radical mastectomy to rid an underlying bigger concern that might remain uncovered deep below that hemangioma. Your doctor is erring on the side of caution and recommending a procedure that will give you peace of mind further down the road by eliminating the threat of a more concerning issue. Best of luck with your wife's situation, Carm RN.