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A Scary Onset of a Rare and Aggressive Type of Primary Breast Sarcoma: A Case Report
- Source :
- Case Reports in Oncology, Vol 9, Iss 3, Pp 796-801 (2016), Case Reports in Oncology, Repositório Científico de Acesso Aberto de Portugal, Repositório Científico de Acesso Aberto de Portugal (RCAAP), instacron:RCAAP, CIÊNCIAVITAE
- Publication Year :
- 2016
- Publisher :
- KARGER, 2016.
-
Abstract
- Primary breast sarcoma, arising from connective tissue within the breast, is extremely rare, accounting for less than 1% of all primary breast malignancies and no more than 5% of all sarcomas. The rarity of this pathology limits most studies to case reports and small retrospective studies, which has led to a lack of consensus on the clinical management. We report a clinical case of a 52-year-old woman, perimenopausal, previously healthy, with regular breast surveillance, who presented with a large (>20 cm) and rapidly expanding hypervascularized tumor of the left breast developed over 10 days, with a very thin preulcerative skin over the last 4 days. There was no systemic dissemination. The patient was submitted to total mastectomy and excision of axillary adenopathy. The tumor was diagnosed histologically as malignant phyllodes tumor associated with areas of high-grade sarcoma. Due to rapid growth and aggressive histological characteristics, adjuvant chemotherapy and radiotherapy were performed. There is a lot of evidence that tumors larger than 5 cm are associated with a poor prognosis. Despite the poor prognosis associated with this aggressive entity, the patient had no recurrence during 5 years of follow-up. We review the relevant literature about primary breast sarcomas.
- Subjects :
- Oncology
medicine.medical_specialty
Breast Sarcoma
medicine.medical_treatment
Case Report
Malignant phyllodes tumor
lcsh:RC254-282
03 medical and health sciences
Breast cancer
0302 clinical medicine
Internal medicine
Breast Cancer
medicine
Primary breast sarcoma
Total Mastectomy
business.industry
Retrospective cohort study
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
medicine.disease
Radiation therapy
Left breast
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Radiology
Sarcoma
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Case Reports in Oncology, Vol 9, Iss 3, Pp 796-801 (2016), Case Reports in Oncology, Repositório Científico de Acesso Aberto de Portugal, Repositório Científico de Acesso Aberto de Portugal (RCAAP), instacron:RCAAP, CIÊNCIAVITAE
- Accession number :
- edsair.doi.dedup.....cc3a6fa2ec3e803913398497eb22498f