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A case of primary breast angiosarcoma with multiple discontinuous small lesions
- Source :
- Surgical Case Reports, Vol 5, Iss 1, Pp 1-5 (2019), Surgical Case Reports
- Publication Year :
- 2019
- Publisher :
- SpringerOpen, 2019.
-
Abstract
- Background Angiosarcoma of the breast is rare. It carries a poor prognosis because of its high risk of local recurrence and distant metastases. Presently, there are still no established systemic therapies. Thus, the main treatment strategy for breast angiosarcoma is complete resection. This underscores the importance of closely monitoring the spread of the tumor lesion, particularly for multifocal angiosarcoma, and to plan an optimal operative procedure. We herein present the successful surgical treatment of a rare case of multifocal primary breast angiosarcoma. Case presentation A 43-year-old woman visited our hospital with a growing lump on her right breast accompanied by pain. Clinical and radiological examinations revealed a well-circumscribed 40-mm-diameter tumor at the inner lower quadrant of her right breast. Histological examination of a needle biopsy specimen revealed angiosarcoma. Based on a precise evaluation of the tumor by contrast-enhanced MRI and contrast-enhanced CT scan, a wide local excision with sufficient margins was performed. In the resected specimen, three discontinuous small lesions of angiosarcoma were observed around the main tumor. Therefore, total mastectomy was additionally performed. Pathological examination revealed two other small nodules of angiosarcoma in the remnant right breast, which appeared to be close but not continuous to the defective part of the initial resection. Postoperative follow-up at 1 year showed no signs of recurrence or distant metastasis. Multifocal primary breast angiosarcoma is extremely rare with only two previous reports describing its multifocality. Conclusions Owing to its rarity, a standardized surgical treatment for breast angiosarcoma remains controversial. Our case suggests that primary breast angiosarcoma may occasionally present with multifocal tumor. Thus, it is important to keep in mind the multifocality of breast angiosarcoma when assessing its spread by diagnostic imaging and when planning the surgical strategy.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
lcsh:Surgery
Case Report
Lesion
03 medical and health sciences
Quadrant (abdomen)
0302 clinical medicine
medicine
Angiosarcoma
Breast
Total Mastectomy
Pathological
neoplasms
Multifocal tumor
business.industry
Wide local excision
Breast angiosarcoma
lcsh:RD1-811
digestive system diseases
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Surgery
Radiology
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 21987793
- Volume :
- 5
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....54007ca3b15c4f39a26e1d1e5e71d398