Angiosarcoma of the breast: a clinicopathologic analysis of cases from the last 10 years.
Identifieur interne : 006400 ( Main/Exploration ); précédent : 006399; suivant : 006401Angiosarcoma of the breast: a clinicopathologic analysis of cases from the last 10 years.
Auteurs : Xiao Yun Wang [États-Unis] ; Joseph Jakowski ; Ossama W. Tawfik ; Patricia A. Thomas ; Fang FanSource :
- Annals of diagnostic pathology [ 1532-8198 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Association thérapeutique, Femelle, Humains, Hémangiosarcome (), Hémangiosarcome (anatomopathologie), Hémangiosarcome (étiologie), Mastectomie, Récidive tumorale locale (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement médicamenteux adjuvant, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (étiologie), Tumeurs radio-induites (), Tumeurs radio-induites (anatomopathologie).
- MESH :
- anatomopathologie : Hémangiosarcome, Tumeurs du sein, Tumeurs radio-induites.
- épidémiologie : Récidive tumorale locale.
- étiologie : Hémangiosarcome, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Association thérapeutique, Femelle, Humains, Hémangiosarcome, Mastectomie, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement médicamenteux adjuvant, Tumeurs du sein, Tumeurs radio-induites.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Breast Neoplasms (etiology), Breast Neoplasms (pathology), Breast Neoplasms (therapy), Chemotherapy, Adjuvant, Combined Modality Therapy, Female, Hemangiosarcoma (etiology), Hemangiosarcoma (pathology), Hemangiosarcoma (therapy), Humans, Mastectomy, Middle Aged, Neoplasm Recurrence, Local (epidemiology), Neoplasms, Radiation-Induced (pathology), Neoplasms, Radiation-Induced (therapy).
- MESH :
- epidemiology : Neoplasm Recurrence, Local.
- etiology : Breast Neoplasms, Hemangiosarcoma.
- pathology : Breast Neoplasms, Hemangiosarcoma, Neoplasms, Radiation-Induced.
- therapy : Breast Neoplasms, Hemangiosarcoma, Neoplasms, Radiation-Induced.
- Adult, Aged, Aged, 80 and over, Chemotherapy, Adjuvant, Combined Modality Therapy, Female, Humans, Mastectomy, Middle Aged.
Abstract
Breast angiosarcoma may occur de novo, or as a complication of radiation therapy, or chronic lymphedema secondary to axillary lymph node dissection for mammary carcinoma. In our effort to characterize the clinicopathologic features of breast angiosarcoma, we reviewed all breast angiosarcoma cases in the University of Kansas Medical Center and Ohio State University Medical Center archives from 1997 to 2007. Clinical histories and follow-up data for identified patients were reviewed. The tumors were graded histologically according to Rosen's method. Only 11 angiosarcomas were identified among more than 5000 malignant breast neoplasms (0.1%-0.2% incidence) for the last 10 years. Eight cases (6 high grade, 1 intermediate grade, 1 low grade) were identified as postradiation angiosarcoma (postradiation time interval, 4-12 years), and 3 cases were identified as primary angiosarcomas (1 high grade, 2 low grade). Follow-up (median, 36 months) revealed that 3 cases of postradiation angiosarcoma recurred as skin and/or chest wall lesions and 1 case of primary angiosarcoma developed liver metastases (all high-grade). In conclusion, breast angiosarcoma remains a rare disease. Rosen's method for grading breast angiosarcoma is easy to implement and correlates well with clinical outcome. There are no distinct clinical or histologic differences between primary and postradiation breast angiosarcomas.
DOI: 10.1016/j.anndiagpath.2009.02.001
PubMed: 19433291
Affiliations:
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Tawfik</name></author><author><name sortKey="Thomas, Patricia A" sort="Thomas, Patricia A" uniqKey="Thomas P" first="Patricia A" last="Thomas">Patricia A. Thomas</name></author><author><name sortKey="Fan, Fang" sort="Fan, Fang" uniqKey="Fan F" first="Fang" last="Fan">Fang Fan</name></author></analytic><series><title level="j">Annals of diagnostic pathology</title><idno type="eISSN">1532-8198</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Breast Neoplasms (etiology)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (therapy)</term><term>Chemotherapy, Adjuvant</term><term>Combined Modality Therapy</term><term>Female</term><term>Hemangiosarcoma (etiology)</term><term>Hemangiosarcoma (pathology)</term><term>Hemangiosarcoma (therapy)</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local (epidemiology)</term><term>Neoplasms, Radiation-Induced (pathology)</term><term>Neoplasms, Radiation-Induced (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Femelle</term><term>Humains</term><term>Hémangiosarcome ()</term><term>Hémangiosarcome (anatomopathologie)</term><term>Hémangiosarcome (étiologie)</term><term>Mastectomie</term><term>Récidive tumorale locale (épidémiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement médicamenteux adjuvant</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (étiologie)</term><term>Tumeurs radio-induites ()</term><term>Tumeurs radio-induites (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Tumeurs du sein</term><term>Tumeurs radio-induites</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Neoplasm Recurrence, Local</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Neoplasms</term><term>Hemangiosarcoma</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Hemangiosarcoma</term><term>Neoplasms, Radiation-Induced</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Hemangiosarcoma</term><term>Neoplasms, Radiation-Induced</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Récidive tumorale locale</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chemotherapy, Adjuvant</term><term>Combined Modality Therapy</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Femelle</term><term>Humains</term><term>Hémangiosarcome</term><term>Mastectomie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement médicamenteux adjuvant</term><term>Tumeurs du sein</term><term>Tumeurs radio-induites</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast angiosarcoma may occur de novo, or as a complication of radiation therapy, or chronic lymphedema secondary to axillary lymph node dissection for mammary carcinoma. In our effort to characterize the clinicopathologic features of breast angiosarcoma, we reviewed all breast angiosarcoma cases in the University of Kansas Medical Center and Ohio State University Medical Center archives from 1997 to 2007. Clinical histories and follow-up data for identified patients were reviewed. The tumors were graded histologically according to Rosen's method. Only 11 angiosarcomas were identified among more than 5000 malignant breast neoplasms (0.1%-0.2% incidence) for the last 10 years. Eight cases (6 high grade, 1 intermediate grade, 1 low grade) were identified as postradiation angiosarcoma (postradiation time interval, 4-12 years), and 3 cases were identified as primary angiosarcomas (1 high grade, 2 low grade). Follow-up (median, 36 months) revealed that 3 cases of postradiation angiosarcoma recurred as skin and/or chest wall lesions and 1 case of primary angiosarcoma developed liver metastases (all high-grade). In conclusion, breast angiosarcoma remains a rare disease. Rosen's method for grading breast angiosarcoma is easy to implement and correlates well with clinical outcome. There are no distinct clinical or histologic differences between primary and postradiation breast angiosarcomas.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Kansas</li></region></list><tree><noCountry><name sortKey="Fan, Fang" sort="Fan, Fang" uniqKey="Fan F" first="Fang" last="Fan">Fang Fan</name><name sortKey="Jakowski, Joseph" sort="Jakowski, Joseph" uniqKey="Jakowski J" first="Joseph" last="Jakowski">Joseph Jakowski</name><name sortKey="Tawfik, Ossama W" sort="Tawfik, Ossama W" uniqKey="Tawfik O" first="Ossama W" last="Tawfik">Ossama W. Tawfik</name><name sortKey="Thomas, Patricia A" sort="Thomas, Patricia A" uniqKey="Thomas P" first="Patricia A" last="Thomas">Patricia A. Thomas</name></noCountry><country name="États-Unis"><region name="Kansas"><name sortKey="Wang, Xiao Yun" sort="Wang, Xiao Yun" uniqKey="Wang X" first="Xiao Yun" last="Wang">Xiao Yun Wang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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