AXILLARY LYMPH NODE HEMANGIOMA: A RARE FINDING

Objectives: Hemangioma is a benign vascular tumor typically seen within the skin and soft tissue; it is an extremely rare occurrence to be found within a lymph node. This case study evaluates a 50-year-old female with incidentally found axillary and pre-pectoral lymphadenopathy on computed tomography angiography (CT-A) scan of the neck obtained as part of a stroke workup. A dedicated CT chest showed multiple enlarged axillary and sub-pectoral lymph nodes. She had a recent mammogram which was normal. On exam she had palpable right axillary and sub-pectoral lymph nodes and a congenital hemangioma of the right arm, shoulder, and back. She underwent an excision biopsy with resulting pathology showing a hemangioma within an axillary lymph node. In prior case reports, lymph node hemangiomas are typically found in females and with solitary lymphadenopathy, however our patient had diffuse lymphadenopathy. Although a benign lesion, we conclude that excision is important for diagnostic reasons and to rule out malignancy. We aim to continue to build upon the limited knowledge base of this exceedingly rare benign vascular tumor.

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