Incidence of male breast lesions has increased by 1.6% in the last two decades. Nevertheless, hemangioma of breast is seldom encountered in clinical practice (0.8%) and its incidence in male breast is unknown due to extreme rarity. A 72 year old male, with 40 years history of slowly progressing, painless, mass in the left breast, mammography showing an oval lobulated dense mass with fine calcifications and FNAC yielding only hemorrhage underwent wide local excision. Histopathological diagnosis was in favour of cavernous hemangioma. Rarity of male breast lesions pause a diagnostic and prognostic challenge due to little evidence available in the literature. Imaging and cytology being nonspecific, in large lesions differentiation from the malignant counterpart often requires complete excision and histo-morphological examination, aided with ancillary technique like IHC.
Keywords: Hemangioma breast, Male breast.