A palpable breast lump is a frequent clinical finding and preoperative evaluation varies depending on its localization and characteristics. Vascular tumors are rarely diagnosed especially regarding the tail of Spencer region. In general, they appear oval-shaped with wellcircumscribed margins, but their echostructure varies, and it might be quite difficult for the breast specialist to differentiate it from complex cysts, fibroadenomas or some carcinomas. The authors describe a rare location of breast hemangioma with mammographic characteristics that were suspicious for malignancy. There were no identifiable risk factors, no familial history of breast lumps, and patient did not mention the intake of hormonal therapy. The lump was evaluated by mammography and breast ultrasonography, whereas due to the high vascularity of the nodule, the decision not to perform fine-needle aspiration (FNA) was made and an excisional biopsy was performed. The histological result was “breast capillary hemangioma”.