A Scary Onset of a Rare and Aggressive Type of Primary Breast Sarcoma: A Case Report
Identifieur interne : 001521 ( Main/Exploration ); précédent : 001520; suivant : 001522A Scary Onset of a Rare and Aggressive Type of Primary Breast Sarcoma: A Case Report
Auteurs : Inês Ramalho ; Sara Campos ; Teresa Rebelo ; Margarida Figueiredo DiasSource :
- Case Reports in Oncology [ 1662-6575 ] ; 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.
Url:
DOI: 10.1159/000452946
PubMed: 28101028
PubMed Central: 5216215
Affiliations:
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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.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Benna, S" uniqKey="Al Benna S">S Al-Benna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, F" uniqKey="Wang F">F Wang</name></author><author><name sortKey="Jia, Y" uniqKey="Jia Y">Y Jia</name></author><author><name sortKey="Tong, Z" uniqKey="Tong Z">Z Tong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, N" uniqKey="Li N">N Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hefny, Af" uniqKey="Hefny A">AF Hefny</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holm, M" uniqKey="Holm M">M Holm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yin, M" uniqKey="Yin M">M Yin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Surov, A" uniqKey="Surov A">A Surov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rashmi Chugh, M" uniqKey="Rashmi Chugh M">M Rashmi Chugh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Radovanovi, A" uniqKey="Radovanovi A">A Radovanović</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hsu, C" uniqKey="Hsu C">C Hsu</name></author><author><name sortKey="Mccloskey, Sa" uniqKey="Mccloskey S">SA McCloskey</name></author><author><name sortKey="Peddi, Pf" uniqKey="Peddi P">PF Peddi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Jr" uniqKey="Harris J">JR Harris</name></author><author><name sortKey="Lippman, Me" uniqKey="Lippman M">ME Lippman</name></author><author><name sortKey="Morrow, M" uniqKey="Morrow M">M Morrow</name></author><author><name sortKey="Osborne, Ck" uniqKey="Osborne C">CK Osborne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Testori, A" uniqKey="Testori A">A Testori</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Srinivasamurthy, Bc" uniqKey="Srinivasamurthy B">BC Srinivasamurthy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Trent, Ij" uniqKey="Trent I">IJ Trent</name></author><author><name sortKey="Benjamin, Rs" uniqKey="Benjamin R">RS Benjamin</name></author><author><name sortKey="Valero, V" uniqKey="Valero V">V Valero</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Campos, Sara" sort="Campos, Sara" uniqKey="Campos S" first="Sara" last="Campos">Sara Campos</name><name sortKey="Figueiredo Dias, Margarida" sort="Figueiredo Dias, Margarida" uniqKey="Figueiredo Dias M" first="Margarida" last="Figueiredo Dias">Margarida Figueiredo Dias</name><name sortKey="Ramalho, Ines" sort="Ramalho, Ines" uniqKey="Ramalho I" first="Inês" last="Ramalho">Inês Ramalho</name><name sortKey="Rebelo, Teresa" sort="Rebelo, Teresa" uniqKey="Rebelo T" first="Teresa" last="Rebelo">Teresa Rebelo</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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