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Atypical Presentation of Radiation-Associated Breast Angiosarcoma: A Case Report and Review of Literature.

Abstract BACKGROUND Radiation-associated breast angiosarcoma is a rare clinical entity that is thought to be increasing in incidence. CASE REPORT Here we present the case of a 67-year-old female with a history of left breast invasive ductal carcinoma who received breast conserving surgery and radiation therapy eight years ago. She then presented with a painless mild skin discoloration of the left breast that had been present for over one year. Mammograms and ultrasounds were normal. A punch biopsy and a subsequent excisional biopsy revealed the diagnosis of angiosarcoma. The patient was treated with mastectomy and had no subsequent recurrences. CONCLUSIONS The long-term clinical surveillance for all patients who receive breast conservation surgery is recommended and a high degree of suspicion should be exercised in view of potential atypical presentations of this disease.
PMID
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Authors

Mayor MeshTerms

Neoplasms, Radiation-Induced

Keywords
Journal Title the american journal of case reports
Publication Year Start




PMID- 29249796
OWN - NLM
STAT- MEDLINE
DCOM- 20180109
LR  - 20180109
IS  - 1941-5923 (Electronic)
IS  - 1941-5923 (Linking)
VI  - 18
DP  - 2017 Dec 18
TI  - Atypical Presentation of Radiation-Associated Breast Angiosarcoma: A Case Report 
      and Review of Literature.
PG  - 1347-1350
AB  - BACKGROUND Radiation-associated breast angiosarcoma is a rare clinical entity
      that is thought to be increasing in incidence. CASE REPORT Here we present the
      case of a 67-year-old female with a history of left breast invasive ductal
      carcinoma who received breast conserving surgery and radiation therapy eight
      years ago. She then presented with a painless mild skin discoloration of the left
      breast that had been present for over one year. Mammograms and ultrasounds were
      normal. A punch biopsy and a subsequent excisional biopsy revealed the diagnosis 
      of angiosarcoma. The patient was treated with mastectomy and had no subsequent
      recurrences. CONCLUSIONS The long-term clinical surveillance for all patients who
      receive breast conservation surgery is recommended and a high degree of suspicion
      should be exercised in view of potential atypical presentations of this disease.
FAU - Farran, Yvette
AU  - Farran Y
AD  - Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, 
      El Paso, TX, USA.
FAU - Padilla, Osvaldo
AU  - Padilla O
AD  - Department of Pathology, Texas Tech University Health Sciences Center, Paul L.
      Foster School of Medicine, El Paso, TX, USA.
FAU - Chambers, Karinn
AU  - Chambers K
AD  - Department of Surgery, Texas Tech University Health Sciences Center, Paul L.
      Foster School of Medicine, El Paso, TX, USA.
FAU - Philipovskiy, Alexander
AU  - Philipovskiy A
AD  - Department of Internal Medicine, Texas Tech University Health Sciences Center,
      Paul L. Foster School of Medicine, El Paso, TX, USA.
FAU - Nahleh, Zeina
AU  - Nahleh Z
AD  - Department of Hematology/Oncology, Cleveland Clinic Florida, Maroone Cancer
      Center, Weston, FL, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20171218
PL  - United States
TA  - Am J Case Rep
JT  - The American journal of case reports
JID - 101489566
SB  - IM
MH  - Aged
MH  - Breast Neoplasms/*etiology/pathology/radiotherapy
MH  - Carcinoma, Ductal, Breast/radiotherapy
MH  - Female
MH  - Hemangiosarcoma/*etiology/pathology
MH  - Humans
MH  - *Neoplasms, Radiation-Induced
MH  - Pigmentation Disorders/*etiology/pathology
MH  - Radiotherapy, Adjuvant/*adverse effects
PMC - PMC5742473
EDAT- 2017/12/19 06:00
MHDA- 2018/01/10 06:00
CRDT- 2017/12/19 06:00
PHST- 2017/12/19 06:00 [entrez]
PHST- 2017/12/19 06:00 [pubmed]
PHST- 2018/01/10 06:00 [medline]
AID - 905157 [pii]
PST - epublish
SO  - Am J Case Rep. 2017 Dec 18;18:1347-1350.