Management experiences of primary angiosarcoma of breast: a retrospective study from single institute in the People’s Republic of China
Identifieur interne : 001B34 ( Main/Exploration ); précédent : 001B33; suivant : 001B35Management experiences of primary angiosarcoma of breast: a retrospective study from single institute in the People’s Republic of China
Auteurs : Qun-Chao Hu [République populaire de Chine] ; Xin Mei [République populaire de Chine] ; Yan Feng [République populaire de Chine] ; Jin-Li Ma [République populaire de Chine] ; Zhao-Zhi Yang [République populaire de Chine] ; Zhi-Min Shao [République populaire de Chine] ; Xiao-Li Yu [République populaire de Chine] ; Xiao-Mao Guo [République populaire de Chine]Source :
- OncoTargets and therapy [ 1178-6930 ] ; 2015.
Abstract
Primary angiosarcoma of breast (PAOB) is a rare and highly aggressive malignancy. There is no general agreement on optimal treatments or prognostic factors for this orphan disease. The objective of this study was to investigate the clinicopathologic features and management experiences of PAOB.
We performed a retrospective review of medical and pathologic records of 17 consecutive patients diagnosed with PAOB between January 2000 and February 2014 at FuDan University Shanghai Cancer Center. We evaluated the clinical characteristics, multimodality treatments, and associated clinical outcomes.
A total of 16 patients were included in this retrospective study (median age at PAOB presentation 33.5 years, range: 19–56 years). Palpable tumor with or without breast skin ecchymosis presented as the most common initial symptom. All patients underwent surgery with curative intent. Median disease-free survival and overall survival (OS) were 9 months and 13.6 months, respectively. One-year and 3-year disease-free survival rates were 43.8% and 6.3%, with OS rates of 93.8% and 78.1%, respectively. High histologic grade indicated poorer OS by univariate analysis (
PAOB is considered as an infrequent breast neoplasm with aggressive characteristics. Histologic grade and early metastasis (within 12 months after diagnosis) are associated with poor prognosis. Regardless of grade, additional benefit was not observed with adjuvant therapy.
Url:
DOI: 10.2147/OTT.S92769
PubMed: 26604790
PubMed Central: 4640151
Affiliations:
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Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ott-8-3237">Department of Radiation Oncology, Suzhou Municipal Hospital, Suzhou, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Suzhou Municipal Hospital, Suzhou</wicri:regionArea><wicri:noRegion>Suzhou</wicri:noRegion></affiliation></author><author><name sortKey="Mei, Xin" sort="Mei, Xin" uniqKey="Mei X" first="Xin" last="Mei">Xin Mei</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Feng, Yan" sort="Feng, Yan" uniqKey="Feng Y" first="Yan" last="Feng">Yan Feng</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Ma, Jin Li" sort="Ma, Jin Li" uniqKey="Ma J" first="Jin-Li" last="Ma">Jin-Li Ma</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Zhao Zhi" sort="Yang, Zhao Zhi" uniqKey="Yang Z" first="Zhao-Zhi" last="Yang">Zhao-Zhi Yang</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Shao, Zhi Min" sort="Shao, Zhi Min" uniqKey="Shao Z" first="Zhi-Min" last="Shao">Zhi-Min Shao</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-ott-8-3237">Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Yu, Xiao Li" sort="Yu, Xiao Li" uniqKey="Yu X" first="Xiao-Li" last="Yu">Xiao-Li Yu</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Guo, Xiao Mao" sort="Guo, Xiao Mao" uniqKey="Guo X" first="Xiao-Mao" last="Guo">Xiao-Mao Guo</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-8-3237">Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-8-3237">Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Oncology, Shanghai Medical College, Fudan University, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author></analytic><series><title level="j">OncoTargets and therapy</title><idno type="eISSN">1178-6930</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Primary angiosarcoma of breast (PAOB) is a rare and highly aggressive malignancy. There is no general agreement on optimal treatments or prognostic factors for this orphan disease. The objective of this study was to investigate the clinicopathologic features and management experiences of PAOB.</p></sec><sec><title>Methods</title><p>We performed a retrospective review of medical and pathologic records of 17 consecutive patients diagnosed with PAOB between January 2000 and February 2014 at FuDan University Shanghai Cancer Center. We evaluated the clinical characteristics, multimodality treatments, and associated clinical outcomes.</p></sec><sec><title>Results</title><p>A total of 16 patients were included in this retrospective study (median age at PAOB presentation 33.5 years, range: 19–56 years). Palpable tumor with or without breast skin ecchymosis presented as the most common initial symptom. All patients underwent surgery with curative intent. Median disease-free survival and overall survival (OS) were 9 months and 13.6 months, respectively. One-year and 3-year disease-free survival rates were 43.8% and 6.3%, with OS rates of 93.8% and 78.1%, respectively. High histologic grade indicated poorer OS by univariate analysis (<italic>P</italic>=0.01). However, neither adjuvant chemotherapy nor radiotherapy contributed to clinical outcomes in our series.</p></sec><sec><title>Conclusion</title><p>PAOB is considered as an infrequent breast neoplasm with aggressive characteristics. Histologic grade and early metastasis (within 12 months after diagnosis) are associated with poor prognosis. Regardless of grade, additional benefit was not observed with adjuvant therapy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Young, Rj" uniqKey="Young R">RJ Young</name></author><author><name sortKey="Brown, Nj" uniqKey="Brown N">NJ Brown</name></author><author><name sortKey="Reed, Mw" uniqKey="Reed M">MW Reed</name></author><author><name sortKey="Hughes, D" uniqKey="Hughes D">D Hughes</name></author><author><name sortKey="Woll, Pj" uniqKey="Woll P">PJ Woll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mery, Cm" uniqKey="Mery C">CM Mery</name></author><author><name sortKey="George, S" uniqKey="George S">S George</name></author><author><name sortKey="Bertagnolli, Mm" uniqKey="Bertagnolli M">MM Bertagnolli</name></author><author><name sortKey="Raut, Cp" uniqKey="Raut C">CP Raut</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="D Ngelo, Sp" uniqKey="D 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Chine"><noRegion><name sortKey="Hu, Qun Chao" sort="Hu, Qun Chao" uniqKey="Hu Q" first="Qun-Chao" last="Hu">Qun-Chao Hu</name></noRegion><name sortKey="Feng, Yan" sort="Feng, Yan" uniqKey="Feng Y" first="Yan" last="Feng">Yan Feng</name><name sortKey="Feng, Yan" sort="Feng, Yan" uniqKey="Feng Y" first="Yan" last="Feng">Yan Feng</name><name sortKey="Guo, Xiao Mao" sort="Guo, Xiao Mao" uniqKey="Guo X" first="Xiao-Mao" last="Guo">Xiao-Mao Guo</name><name sortKey="Guo, Xiao Mao" sort="Guo, Xiao Mao" uniqKey="Guo X" first="Xiao-Mao" last="Guo">Xiao-Mao Guo</name><name sortKey="Hu, Qun Chao" sort="Hu, Qun Chao" uniqKey="Hu Q" first="Qun-Chao" last="Hu">Qun-Chao Hu</name><name sortKey="Hu, Qun Chao" sort="Hu, Qun Chao" uniqKey="Hu Q" first="Qun-Chao" last="Hu">Qun-Chao Hu</name><name sortKey="Ma, Jin Li" sort="Ma, Jin Li" uniqKey="Ma J" first="Jin-Li" last="Ma">Jin-Li Ma</name><name sortKey="Ma, Jin Li" sort="Ma, Jin Li" uniqKey="Ma J" first="Jin-Li" last="Ma">Jin-Li Ma</name><name sortKey="Mei, Xin" sort="Mei, Xin" uniqKey="Mei X" first="Xin" last="Mei">Xin Mei</name><name sortKey="Mei, Xin" sort="Mei, Xin" uniqKey="Mei X" first="Xin" last="Mei">Xin Mei</name><name sortKey="Shao, Zhi Min" sort="Shao, Zhi Min" uniqKey="Shao Z" first="Zhi-Min" last="Shao">Zhi-Min Shao</name><name sortKey="Shao, Zhi Min" sort="Shao, Zhi Min" uniqKey="Shao Z" first="Zhi-Min" last="Shao">Zhi-Min Shao</name><name sortKey="Yang, Zhao Zhi" sort="Yang, Zhao Zhi" uniqKey="Yang Z" first="Zhao-Zhi" last="Yang">Zhao-Zhi Yang</name><name sortKey="Yang, Zhao Zhi" sort="Yang, Zhao Zhi" uniqKey="Yang Z" first="Zhao-Zhi" last="Yang">Zhao-Zhi Yang</name><name sortKey="Yu, Xiao Li" sort="Yu, Xiao Li" uniqKey="Yu X" first="Xiao-Li" last="Yu">Xiao-Li Yu</name><name sortKey="Yu, Xiao Li" sort="Yu, Xiao Li" uniqKey="Yu X" first="Xiao-Li" last="Yu">Xiao-Li Yu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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