Primary Angiosarcomas of the Breast
Identifieur interne : 002744 ( Ncbi/Merge ); précédent : 002743; suivant : 002745Primary Angiosarcomas of the Breast
Auteurs : Taimur Sher [États-Unis] ; Bryan T. Hennessy [États-Unis] ; Vicente Valero [États-Unis] ; Krisitine Broglio [États-Unis] ; Wendy A. Woodward [États-Unis] ; Jonathan Trent [États-Unis] ; Kelly K. Hunt [États-Unis] ; Gabriel N. Hortobagyi [États-Unis] ; Ana M. Gonzalez-Angulo [États-Unis]Source :
- Cancer [ 0008-543X ] ; 2007.
Abstract
The purpose of the study was to describe the clinicopathologic characteristics and clinical outcomes of patients with primary breast angiosarcoma.
The institutional database was searched to identify breast angiosarcoma patients seen between 1965 and 2002. Survival outcomes were estimated by the Kaplan-Meier method. The log-rank test was used to compare groups. Cox proportional hazards models were used for multivariate analysis.
In all, 69 patients were identified. Median follow-up was 40 months (range, 0–413 months). Median age was 46. Median tumor size at diagnosis was 5.5 cm. Thirteen (18.8%) patients received prior radiation for invasive breast carcinoma. Most patients underwent total mastectomy with (41%) or without (45%) axillary dissection. Regional metastasis to axillary lymph nodes was rare. There were 38 recurrences and 27 deaths. The 5-year overall (OS) and recurrence-free survival (RFS) rates were 61% (95% confidence interval [CI], 49%–76%) and 44% (95% CI, 33%–58%) with estimated medians of 100 and 37 months, respectively. In Cox proportional hazards models, OS and RFS were significantly associated only with T size and not with patient age, prior radiation, or chemotherapy administration. Of 29 patients treated with chemotherapy at recurrence, there were 4 complete and 10 partial responses (48%) with an anthracycline-ifosfamide or gemcitabine-taxane combination.
Breast angiosarcoma is frequently advanced at diagnosis and has a tendency for local-regional recurrence. A significant number of responses to chemotherapy was observed in the metastatic setting. These data suggest that a multidisciplinary therapeutic approach should be employed in high-risk patients with large primary tumors.
Url:
DOI: 10.1002/cncr.22784
PubMed: 17541936
PubMed Central: 4329779
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PMC:4329779Le document en format XML
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<author><name sortKey="Hortobagyi, Gabriel N" sort="Hortobagyi, Gabriel N" uniqKey="Hortobagyi G" first="Gabriel N." last="Hortobagyi">Gabriel N. Hortobagyi</name>
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<author><name sortKey="Gonzalez Angulo, Ana M" sort="Gonzalez Angulo, Ana M" uniqKey="Gonzalez Angulo A" first="Ana M." last="Gonzalez-Angulo">Ana M. Gonzalez-Angulo</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Primary Angiosarcomas of the Breast</title>
<author><name sortKey="Sher, Taimur" sort="Sher, Taimur" uniqKey="Sher T" first="Taimur" last="Sher">Taimur Sher</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Floride</region>
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<wicri:cityArea>Department of Internal Medicine, Mount Sinai Medical Center, Miami Beach</wicri:cityArea>
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<author><name sortKey="Hennessy, Bryan T" sort="Hennessy, Bryan T" uniqKey="Hennessy B" first="Bryan T." last="Hennessy">Bryan T. Hennessy</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Gynecology Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Texas</region>
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<wicri:cityArea>Department of Gynecology Oncology, University of Texas M. D. Anderson Cancer Center, Houston</wicri:cityArea>
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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Hunt, Kelly K" sort="Hunt, Kelly K" uniqKey="Hunt K" first="Kelly K." last="Hunt">Kelly K. Hunt</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Hortobagyi, Gabriel N" sort="Hortobagyi, Gabriel N" uniqKey="Hortobagyi G" first="Gabriel N." last="Hortobagyi">Gabriel N. Hortobagyi</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Texas</region>
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<author><name sortKey="Gonzalez Angulo, Ana M" sort="Gonzalez Angulo, Ana M" uniqKey="Gonzalez Angulo A" first="Ana M." last="Gonzalez-Angulo">Ana M. Gonzalez-Angulo</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Department of Breast Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Texas</region>
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<wicri:cityArea>Department of Breast Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston</wicri:cityArea>
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<series><title level="j">Cancer</title>
<idno type="ISSN">0008-543X</idno>
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<imprint><date when="2007">2007</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>BACKGROUND</title>
<p id="P1">The purpose of the study was to describe the clinicopathologic characteristics and clinical outcomes of patients with primary breast angiosarcoma.</p>
</sec>
<sec id="S2"><title>METHODS</title>
<p id="P2">The institutional database was searched to identify breast angiosarcoma patients seen between 1965 and 2002. Survival outcomes were estimated by the Kaplan-Meier method. The log-rank test was used to compare groups. Cox proportional hazards models were used for multivariate analysis.</p>
</sec>
<sec id="S3"><title>RESULTS</title>
<p id="P3">In all, 69 patients were identified. Median follow-up was 40 months (range, 0–413 months). Median age was 46. Median tumor size at diagnosis was 5.5 cm. Thirteen (18.8%) patients received prior radiation for invasive breast carcinoma. Most patients underwent total mastectomy with (41%) or without (45%) axillary dissection. Regional metastasis to axillary lymph nodes was rare. There were 38 recurrences and 27 deaths. The 5-year overall (OS) and recurrence-free survival (RFS) rates were 61% (95% confidence interval [CI], 49%–76%) and 44% (95% CI, 33%–58%) with estimated medians of 100 and 37 months, respectively. In Cox proportional hazards models, OS and RFS were significantly associated only with T size and not with patient age, prior radiation, or chemotherapy administration. Of 29 patients treated with chemotherapy at recurrence, there were 4 complete and 10 partial responses (48%) with an anthracycline-ifosfamide or gemcitabine-taxane combination.</p>
</sec>
<sec id="S4"><title>CONCLUSIONS</title>
<p id="P4">Breast angiosarcoma is frequently advanced at diagnosis and has a tendency for local-regional recurrence. A significant number of responses to chemotherapy was observed in the metastatic setting. These data suggest that a multidisciplinary therapeutic approach should be employed in high-risk patients with large primary tumors.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0374236</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2771</journal-id>
<journal-id journal-id-type="nlm-ta">Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Cancer</journal-id>
<journal-title-group><journal-title>Cancer</journal-title>
</journal-title-group>
<issn pub-type="ppub">0008-543X</issn>
<issn pub-type="epub">1097-0142</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">17541936</article-id>
<article-id pub-id-type="pmc">4329779</article-id>
<article-id pub-id-type="doi">10.1002/cncr.22784</article-id>
<article-id pub-id-type="manuscript">NIHMS283619</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Primary Angiosarcomas of the Breast</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sher</surname>
<given-names>Taimur</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hennessy</surname>
<given-names>Bryan T.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Valero</surname>
<given-names>Vicente</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Broglio</surname>
<given-names>Krisitine</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Woodward</surname>
<given-names>Wendy A.</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Trent</surname>
<given-names>Jonathan</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hunt</surname>
<given-names>Kelly K.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hortobagyi</surname>
<given-names>Gabriel N.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gonzalez-Angulo</surname>
<given-names>Ana M.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Internal Medicine, Mount Sinai Medical Center, Miami Beach, Florida</aff>
<aff id="A2"><label>2</label>
Department of Gynecology Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<aff id="A3"><label>3</label>
Department of Breast Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<aff id="A4"><label>4</label>
Department of Statistics and Applied Mathematics, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<aff id="A5"><label>5</label>
Department of Radiation Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<aff id="A6"><label>6</label>
Department of Sarcoma Medical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<aff id="A7"><label>7</label>
Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas</aff>
<author-notes><corresp id="CR1">Address for reprints: Ana M. Gonzalez-Angulo, MD, Department of Breast Medical Oncology, University of Texas M. D. Anderson Cancer Center, Unit 1354, 1515 Holcombe Blvd., Houston, TX 77030-4009; Fax: (713) 794-4385; <email>agonzalez@mdanderson.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>25</day>
<month>3</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><day>1</day>
<month>7</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>16</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>110</volume>
<issue>1</issue>
<fpage>173</fpage>
<lpage>178</lpage>
<pmc-comment>elocation-id from pubmed: 10.1002/cncr.22784</pmc-comment>
<permissions><copyright-statement>© 2007 American Cancer Society</copyright-statement>
<copyright-year>2007</copyright-year>
</permissions>
<abstract><sec id="S1"><title>BACKGROUND</title>
<p id="P1">The purpose of the study was to describe the clinicopathologic characteristics and clinical outcomes of patients with primary breast angiosarcoma.</p>
</sec>
<sec id="S2"><title>METHODS</title>
<p id="P2">The institutional database was searched to identify breast angiosarcoma patients seen between 1965 and 2002. Survival outcomes were estimated by the Kaplan-Meier method. The log-rank test was used to compare groups. Cox proportional hazards models were used for multivariate analysis.</p>
</sec>
<sec id="S3"><title>RESULTS</title>
<p id="P3">In all, 69 patients were identified. Median follow-up was 40 months (range, 0–413 months). Median age was 46. Median tumor size at diagnosis was 5.5 cm. Thirteen (18.8%) patients received prior radiation for invasive breast carcinoma. Most patients underwent total mastectomy with (41%) or without (45%) axillary dissection. Regional metastasis to axillary lymph nodes was rare. There were 38 recurrences and 27 deaths. The 5-year overall (OS) and recurrence-free survival (RFS) rates were 61% (95% confidence interval [CI], 49%–76%) and 44% (95% CI, 33%–58%) with estimated medians of 100 and 37 months, respectively. In Cox proportional hazards models, OS and RFS were significantly associated only with T size and not with patient age, prior radiation, or chemotherapy administration. Of 29 patients treated with chemotherapy at recurrence, there were 4 complete and 10 partial responses (48%) with an anthracycline-ifosfamide or gemcitabine-taxane combination.</p>
</sec>
<sec id="S4"><title>CONCLUSIONS</title>
<p id="P4">Breast angiosarcoma is frequently advanced at diagnosis and has a tendency for local-regional recurrence. A significant number of responses to chemotherapy was observed in the metastatic setting. These data suggest that a multidisciplinary therapeutic approach should be employed in high-risk patients with large primary tumors.</p>
</sec>
</abstract>
<kwd-group><kwd>breast cancer</kwd>
<kwd>angiosarcoma</kwd>
<kwd>therapy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Floride</li>
<li>Texas</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Floride"><name sortKey="Sher, Taimur" sort="Sher, Taimur" uniqKey="Sher T" first="Taimur" last="Sher">Taimur Sher</name>
</region>
<name sortKey="Broglio, Krisitine" sort="Broglio, Krisitine" uniqKey="Broglio K" first="Krisitine" last="Broglio">Krisitine Broglio</name>
<name sortKey="Gonzalez Angulo, Ana M" sort="Gonzalez Angulo, Ana M" uniqKey="Gonzalez Angulo A" first="Ana M." last="Gonzalez-Angulo">Ana M. Gonzalez-Angulo</name>
<name sortKey="Hennessy, Bryan T" sort="Hennessy, Bryan T" uniqKey="Hennessy B" first="Bryan T." last="Hennessy">Bryan T. Hennessy</name>
<name sortKey="Hortobagyi, Gabriel N" sort="Hortobagyi, Gabriel N" uniqKey="Hortobagyi G" first="Gabriel N." last="Hortobagyi">Gabriel N. Hortobagyi</name>
<name sortKey="Hunt, Kelly K" sort="Hunt, Kelly K" uniqKey="Hunt K" first="Kelly K." last="Hunt">Kelly K. Hunt</name>
<name sortKey="Trent, Jonathan" sort="Trent, Jonathan" uniqKey="Trent J" first="Jonathan" last="Trent">Jonathan Trent</name>
<name sortKey="Valero, Vicente" sort="Valero, Vicente" uniqKey="Valero V" first="Vicente" last="Valero">Vicente Valero</name>
<name sortKey="Woodward, Wendy A" sort="Woodward, Wendy A" uniqKey="Woodward W" first="Wendy A." last="Woodward">Wendy A. Woodward</name>
</country>
</tree>
</affiliations>
</record>
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