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Radiation-induced breast angiosarcoma: a case report

Identifieur interne : 002186 ( Pmc/Curation ); précédent : 002185; suivant : 002187

Radiation-induced breast angiosarcoma: a case report

Auteurs : Sara Tato-Varela [Espagne] ; Rosa Albalat-Fernández [Espagne] ; Sara Pab N-Fernández [Espagne] ; Diego Nú Ez-García [Espagne] ; Manolo La Calle-Marcos [Espagne]

Source :

RBID : PMC:5215290

Abstract

Radiation-induced breast angiosarcoma is a severe but rare late complication in the breast-preserving management of breast cancer through surgery and radiotherapy [1]. Often the initial diagnosis of this entity is complex given its relatively anodyne nature and usually being present in the form of typically multifocal reddish-purple papular skin lesions [2]. Because of the low incidence of this tumour, there is a limited number of studies regarding its optimal therapeutic management [3]. The preferred treatment is aggressive surgical removal and the prognosis is poor with an overall survival rate of 12–20% at five years [4].


Url:
DOI: 10.3332/ecancer.2016.697
PubMed: 28101140
PubMed Central: 5215290

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PMC:5215290

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]. Often the initial diagnosis of this entity is complex given its relatively anodyne nature and usually being present in the form of typically multifocal reddish-purple papular skin lesions [
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]. Because of the low incidence of this tumour, there is a limited number of studies regarding its optimal therapeutic management [
<xref rid="ref3" ref-type="bibr">3</xref>
]. The preferred treatment is aggressive surgical removal and the prognosis is poor with an overall survival rate of 12–20% at five years [
<xref rid="ref4" ref-type="bibr">4</xref>
].</p>
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<journal-id journal-id-type="nlm-ta">Ecancermedicalscience</journal-id>
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<name>
<surname>Tato-Varela</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
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<name>
<surname>Albalat-Fernández</surname>
<given-names>Rosa</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
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<name>
<surname>Pabón-Fernández</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
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<name>
<surname>Núñez-García</surname>
<given-names>Diego</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Calle-Marcos</surname>
<given-names>Manolo La</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<aff id="aff1">
<label>1</label>
Clinical Management Unit of Gynaecology and Obstetrics, Hospital Universitario Virgen Macarena, Seville 41009, Spain</aff>
<aff id="aff2">
<label>2</label>
Pathological Anatomy Service, Hospital Universitario Virgen Macarena, Seville 41009, Spain</aff>
<aff id="aff3">
<label>3</label>
Family and Community Medicine, Hospital Universitario Virgen Macarena, Seville 41009, Spain</aff>
</contrib-group>
<author-notes>
<corresp id="c1-can-10-697">
<bold>Correspondence to:</bold>
Sara Tato-Varela.
<email>s.tato.varela@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<elocation-id>697</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© the authors; licensee ecancermedicalscience.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>
<pmc-comment>CREATIVE COMMONS</pmc-comment>
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0">http://creativecommons.org/licenses/by/3.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Radiation-induced breast angiosarcoma is a severe but rare late complication in the breast-preserving management of breast cancer through surgery and radiotherapy [
<xref rid="ref1" ref-type="bibr">1</xref>
]. Often the initial diagnosis of this entity is complex given its relatively anodyne nature and usually being present in the form of typically multifocal reddish-purple papular skin lesions [
<xref rid="ref2" ref-type="bibr">2</xref>
]. Because of the low incidence of this tumour, there is a limited number of studies regarding its optimal therapeutic management [
<xref rid="ref3" ref-type="bibr">3</xref>
]. The preferred treatment is aggressive surgical removal and the prognosis is poor with an overall survival rate of 12–20% at five years [
<xref rid="ref4" ref-type="bibr">4</xref>
].</p>
</abstract>
<kwd-group>
<kwd>breast cancer</kwd>
<kwd>radiation</kwd>
<kwd>secondary angiosarcoma</kwd>
<kwd>breast reconstruction</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="figure1" position="float">
<label>Figure 1.</label>
<caption>
<title>Radical excision of affected tissue including the pectoralis major muscle, fascia of the rectus, and fascia of the serratus anterior. The free edge of the latissimus dorsi is preserved.</title>
</caption>
<graphic xlink:href="can-10-697fig1"></graphic>
</fig>
<fig id="figure2" position="float">
<label>Figure 2.</label>
<caption>
<title>Result of the reconstruction with a free fasciocutaneous flap coming from the thigh.</title>
</caption>
<graphic xlink:href="can-10-697fig2"></graphic>
</fig>
<fig id="figure3" position="float">
<label>Figure 3.</label>
<caption>
<title>20x amplification of the definitive anatomopathological study of our case where the positivity of CD31 is observed.</title>
</caption>
<graphic xlink:href="can-10-697fig3"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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