The spectrum of vascular lesions in the mammary skin, including angiosarcoma, after breast conservation treatment for breast cancer
Identifieur interne : 009C79 ( Main/Exploration ); précédent : 009C78; suivant : 009C80The spectrum of vascular lesions in the mammary skin, including angiosarcoma, after breast conservation treatment for breast cancer
Auteurs : Stephen F. Sener [États-Unis] ; Steven Milos [États-Unis] ; Joseph L. Feldman [États-Unis] ; Carole H. Martz [États-Unis] ; David J. Winchester [États-Unis] ; Mark Dieterich [États-Unis] ; Gershon Y. Locker [États-Unis] ; Janardan D. Khandekar [États-Unis] ; Bruce Brockstein [États-Unis] ; Max Haid [États-Unis] ; Arthur Michel [États-Unis]Source :
- Journal of the American College of Surgeons [ 1072-7515 ] ; 2001.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Hémangiosarcome (diagnostic), Hémangiosarcome (étiologie), Lymphoedème (étiologie), Mastectomie partielle, Peau (), Peau (effets des radiations), Région mammaire (), Stade de la tumeur, Sujet âgé, Tumeurs cutanées (diagnostic), Tumeurs cutanées (étiologie), Tumeurs du sein (), Tumeurs du sein (étiologie), Tumeurs radio-induites (diagnostic), Tumeurs vasculaires (diagnostic), Tumeurs vasculaires (étiologie), Études rétrospectives.
- MESH :
- diagnostic : Hémangiosarcome, Tumeurs cutanées, Tumeurs radio-induites, Tumeurs vasculaires.
- effets des radiations : Peau.
- étiologie : Hémangiosarcome, Lymphoedème, Tumeurs cutanées, Tumeurs du sein, Tumeurs vasculaires.
- Adulte d'âge moyen, Femelle, Humains, Mastectomie partielle, Peau, Région mammaire, Stade de la tumeur, Sujet âgé, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Breast (blood supply), Breast Neoplasms (etiology), Breast Neoplasms (therapy), Female, Hemangiosarcoma (diagnosis), Hemangiosarcoma (etiology), Humans, Lymphedema (etiology), Mastectomy, Segmental, Middle Aged, Neoplasm Staging, Neoplasms, Radiation-Induced (diagnosis), Retrospective Studies, Skin (blood supply), Skin (radiation effects), Skin Neoplasms (diagnosis), Skin Neoplasms (etiology), Vascular Neoplasms (diagnosis), Vascular Neoplasms (etiology).
- MESH :
- blood supply : Breast, Skin.
- diagnosis : Hemangiosarcoma, Neoplasms, Radiation-Induced, Skin Neoplasms, Vascular Neoplasms.
- etiology : Breast Neoplasms, Hemangiosarcoma, Lymphedema, Skin Neoplasms, Vascular Neoplasms.
- radiation effects : Skin.
- therapy : Breast Neoplasms.
- Aged, Female, Humans, Mastectomy, Segmental, Middle Aged, Neoplasm Staging, Retrospective Studies.
Abstract
BACKGROUND: With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field after breast conservation treatment. STUDY DESIGN: A retrospective chart and slide review was conducted, consisting of five patients with cutaneous vascular lesions after breast conservation treatment for infiltrating breast cancer. RESULTS: The latent time interval from definitive treatment of breast cancer to the clinical recognition of vascular lesions ranged from 5 to 11 years. Two patients did not have either arm or breast edema, two patients had breast edema, and the fifth patient had arm edema. Lesions arising in the irradiated mammary skin included extensive lymphangiectasia (one), atypical vascular lesions (two), and cutaneous angiosarcoma (four). CONCLUSIONS: Atypical vascular lesions at the skin margins of mastectomy may be predictive of recurrence after resection of angiosarcoma. Excision of skin from the entire radiation field may be necessary to secure local control of the chest wall in patients with cutaneous angiosarcoma after therapeutic breast radiotherapy.
Url:
DOI: 10.1016/S1072-7515(01)00863-8
Affiliations:
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Feldman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, and Evanston Northwestern Healthcare, Evanston, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Martz, Carole H" sort="Martz, Carole H" uniqKey="Martz C" first="Carole H" last="Martz">Carole H. Martz</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Evanston Northwestern Healthcare, Evanston, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Winchester, David J" sort="Winchester, David J" uniqKey="Winchester D" first="David J" last="Winchester">David J. 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IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Michel, Arthur" sort="Michel, Arthur" uniqKey="Michel A" first="Arthur" last="Michel">Arthur Michel</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Evanston Northwestern Healthcare, Evanston, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of the American College of Surgeons</title><title level="j" type="abbrev">ACS</title><idno type="ISSN">1072-7515</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2001">2001</date><biblScope unit="volume">193</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="22">22</biblScope><biblScope unit="page" to="28">28</biblScope></imprint><idno type="ISSN">1072-7515</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1072-7515</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast (blood supply)</term><term>Breast Neoplasms (etiology)</term><term>Breast Neoplasms (therapy)</term><term>Female</term><term>Hemangiosarcoma (diagnosis)</term><term>Hemangiosarcoma (etiology)</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Neoplasms, Radiation-Induced (diagnosis)</term><term>Retrospective Studies</term><term>Skin (blood supply)</term><term>Skin (radiation effects)</term><term>Skin Neoplasms (diagnosis)</term><term>Skin Neoplasms (etiology)</term><term>Vascular Neoplasms (diagnosis)</term><term>Vascular Neoplasms (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hémangiosarcome (diagnostic)</term><term>Hémangiosarcome (étiologie)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie partielle</term><term>Peau ()</term><term>Peau (effets des radiations)</term><term>Région mammaire ()</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs cutanées (diagnostic)</term><term>Tumeurs cutanées (étiologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (étiologie)</term><term>Tumeurs radio-induites (diagnostic)</term><term>Tumeurs vasculaires (diagnostic)</term><term>Tumeurs vasculaires (étiologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Breast</term><term>Skin</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hemangiosarcoma</term><term>Neoplasms, Radiation-Induced</term><term>Skin Neoplasms</term><term>Vascular Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hémangiosarcome</term><term>Tumeurs cutanées</term><term>Tumeurs radio-induites</term><term>Tumeurs vasculaires</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Peau</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Neoplasms</term><term>Hemangiosarcoma</term><term>Lymphedema</term><term>Skin Neoplasms</term><term>Vascular Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Skin</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hémangiosarcome</term><term>Lymphoedème</term><term>Tumeurs cutanées</term><term>Tumeurs du sein</term><term>Tumeurs vasculaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mastectomie partielle</term><term>Peau</term><term>Région mammaire</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field after breast conservation treatment. STUDY DESIGN: A retrospective chart and slide review was conducted, consisting of five patients with cutaneous vascular lesions after breast conservation treatment for infiltrating breast cancer. RESULTS: The latent time interval from definitive treatment of breast cancer to the clinical recognition of vascular lesions ranged from 5 to 11 years. Two patients did not have either arm or breast edema, two patients had breast edema, and the fifth patient had arm edema. Lesions arising in the irradiated mammary skin included extensive lymphangiectasia (one), atypical vascular lesions (two), and cutaneous angiosarcoma (four). CONCLUSIONS: Atypical vascular lesions at the skin margins of mastectomy may be predictive of recurrence after resection of angiosarcoma. Excision of skin from the entire radiation field may be necessary to secure local control of the chest wall in patients with cutaneous angiosarcoma after therapeutic breast radiotherapy.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F" last="Sener">Stephen F. Sener</name></region><name sortKey="Brockstein, Bruce" sort="Brockstein, Bruce" uniqKey="Brockstein B" first="Bruce" last="Brockstein">Bruce Brockstein</name><name sortKey="Dieterich, Mark" sort="Dieterich, Mark" uniqKey="Dieterich M" first="Mark" last="Dieterich">Mark Dieterich</name><name sortKey="Feldman, Joseph L" sort="Feldman, Joseph L" uniqKey="Feldman J" first="Joseph L" last="Feldman">Joseph L. Feldman</name><name sortKey="Haid, Max" sort="Haid, Max" uniqKey="Haid M" first="Max" last="Haid">Max Haid</name><name sortKey="Khandekar, Janardan D" sort="Khandekar, Janardan D" uniqKey="Khandekar J" first="Janardan D" last="Khandekar">Janardan D. Khandekar</name><name sortKey="Locker, Gershon Y" sort="Locker, Gershon Y" uniqKey="Locker G" first="Gershon Y" last="Locker">Gershon Y. Locker</name><name sortKey="Martz, Carole H" sort="Martz, Carole H" uniqKey="Martz C" first="Carole H" last="Martz">Carole H. Martz</name><name sortKey="Michel, Arthur" sort="Michel, Arthur" uniqKey="Michel A" first="Arthur" last="Michel">Arthur Michel</name><name sortKey="Milos, Steven" sort="Milos, Steven" uniqKey="Milos S" first="Steven" last="Milos">Steven Milos</name><name sortKey="Winchester, David J" sort="Winchester, David J" uniqKey="Winchester D" first="David J" last="Winchester">David J. Winchester</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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