Cutaneous epithelioid hemangioma mimicking infected montgomery tubercle

Cutaneous epithelioid hemangioma is a vascular lesion of uncertain pathogenesis. Recurrences are common in cases with incomplete surgical excision. Histologically, it can be differentiated from other conditions by the presence of prominent endothelial lining and mixed inflammatory infiltrate in the background with predominance of lymphocytes and eosinophils. A 19 year old lady presented with a painful left breast swelling, which was clinically diagnosed as infected Montgomery’s tubercle and excised. Histopathology showed features of cutaneous epithelioid hemangioma. Cutaneous epithelioid hemangioma can occur rarely in the breast, where it can mimic an inflammatory pathology.