Primary Breast Angiosarcoma: Avoiding a Common Trap
Background. Primary breast angiosarcoma is a rare entity. Case. Initial diagnosis was a benign hemangioma at core biopsy. Wide local excision was performed, with positive margins. Pathology after surgery reported a moderately differentiated angiosarcoma. Tumor was finally treated using mastectomy...
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Wiley
2011-01-01
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Series: | Case Reports in Oncological Medicine |
Online Access: | http://dx.doi.org/10.1155/2011/517047 |
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author | Christine Desbiens Jean-Charles Hogue Yves Lévesque |
author_facet | Christine Desbiens Jean-Charles Hogue Yves Lévesque |
author_sort | Christine Desbiens |
collection | DOAJ |
description | Background. Primary breast angiosarcoma is a rare entity. Case. Initial diagnosis was a benign hemangioma at core biopsy. Wide local excision was performed, with positive margins. Pathology after surgery reported a moderately differentiated angiosarcoma. Tumor was finally treated using mastectomy and radiations. She developed a second angiosarcoma in contralateral breast, with an initial diagnosis on core biopsy of an atypical vascular lesion and was again treated using mastectomy and radiations. She developed bones and lung metastases. Conclusion. Primary breast angiosarcoma is a rare entity often difficult to diagnose on core biopsy, and a benign differential diagnosis is frequent. A highly vascular breast mass should always be considered malignant until proven otherwise. Surgical treatment seems to be the best course of action. There is a lack of data proving efficacy of adjuvant chemotherapy and radiation therapy. |
format | Article |
id | doaj-art-81d5f80069b948efa6b9ccca59fd6c38 |
institution | Kabale University |
issn | 2090-6706 2090-6714 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Oncological Medicine |
spelling | doaj-art-81d5f80069b948efa6b9ccca59fd6c382025-02-03T01:32:15ZengWileyCase Reports in Oncological Medicine2090-67062090-67142011-01-01201110.1155/2011/517047517047Primary Breast Angiosarcoma: Avoiding a Common TrapChristine Desbiens0Jean-Charles Hogue1Yves Lévesque2Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, CHA Universitaire de Québec, 1050 chemin Sainte-Foy, Québec City, QC, G1S 4L8, CanadaCentre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, CHA Universitaire de Québec, 1050 chemin Sainte-Foy, Québec City, QC, G1S 4L8, CanadaHôtel-Dieu d'Arthabaska, 5 Rue des Hospitalières, Victoriaville, Québec City, QC, G6P 6N2, CanadaBackground. Primary breast angiosarcoma is a rare entity. Case. Initial diagnosis was a benign hemangioma at core biopsy. Wide local excision was performed, with positive margins. Pathology after surgery reported a moderately differentiated angiosarcoma. Tumor was finally treated using mastectomy and radiations. She developed a second angiosarcoma in contralateral breast, with an initial diagnosis on core biopsy of an atypical vascular lesion and was again treated using mastectomy and radiations. She developed bones and lung metastases. Conclusion. Primary breast angiosarcoma is a rare entity often difficult to diagnose on core biopsy, and a benign differential diagnosis is frequent. A highly vascular breast mass should always be considered malignant until proven otherwise. Surgical treatment seems to be the best course of action. There is a lack of data proving efficacy of adjuvant chemotherapy and radiation therapy.http://dx.doi.org/10.1155/2011/517047 |
spellingShingle | Christine Desbiens Jean-Charles Hogue Yves Lévesque Primary Breast Angiosarcoma: Avoiding a Common Trap Case Reports in Oncological Medicine |
title | Primary Breast Angiosarcoma: Avoiding a Common Trap |
title_full | Primary Breast Angiosarcoma: Avoiding a Common Trap |
title_fullStr | Primary Breast Angiosarcoma: Avoiding a Common Trap |
title_full_unstemmed | Primary Breast Angiosarcoma: Avoiding a Common Trap |
title_short | Primary Breast Angiosarcoma: Avoiding a Common Trap |
title_sort | primary breast angiosarcoma avoiding a common trap |
url | http://dx.doi.org/10.1155/2011/517047 |
work_keys_str_mv | AT christinedesbiens primarybreastangiosarcomaavoidingacommontrap AT jeancharleshogue primarybreastangiosarcomaavoidingacommontrap AT yveslevesque primarybreastangiosarcomaavoidingacommontrap |