Naslov
Sporadic case of breast angiosarcoma as a complication of radiotherapy following breast conserving surgery for invasive ductal breast cancer.

Autori
Damir, Grebić ; Ana Marija, Tomasić.

Izvornik
Breast care (1661-3791) 10 (2015), 5; 336-338

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, stručni

Ključne riječi
Angiosarcoma ; Breast-conserving surgery ; Radiotherapy.

Sažetak
Background: Angiosarcomas are highly aggressive and malignant blood vessel tumors. Rarely, angiosarcomas develop in the breast following conservative therapy, namely radiotherapy. Case Report: A 70-year-old female patient presented with dark purple discoloration of the skin of the right breast. 6 years earlier, the patient had undergone conservative surgery for invasive ductal carcinoma of the right breast. According to the breast- conserving surgery protocol, the patient had been treated with radiotherapy to the residual breast tissue. The patient’s annual mammograms and ultrasound findings were nor-mal. The skin lesion was superficially localized mostly at the border between the upper and lower medial quadrants of the breast (between 2 and 4 o’clock) and above the areola. The borders were uneven ; the dimensions were 7 cm × 4 cm. The mammogram was classified as Breast Imaging Report and Data System (BI-RADS) 2. Ultrasound examination showed a well-vascularized structure, although the etiology was unclear. A tissue biopsy revealed angiosarcoma. The patient underwent radical simplex mastectomy. Following surgery, the patient underwent chemotherapy. Tests excluded metastases for a follow-up period of 5 years. Conclusion: Angiosarcomas that develop after radiotherapy following breast-conserving surgery are sporadic, but it is important to take this possible incident into consideration during treatment.

Izvorni jezik
Engleski

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