Clinical management of secondary angiosarcoma after breast conservation therapy.
Identifieur interne : 001485 ( PubMed/Corpus ); précédent : 001484; suivant : 001486Clinical management of secondary angiosarcoma after breast conservation therapy.
Auteurs : Martina Zemanova ; Katarina Machalekova ; Monika Sandorova ; Elena Boljesikova ; Marta Skultetyova ; Juraj Svec ; Andrej ZemanSource :
- Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology [ 1507-1367 ] ; 2014.
Abstract
The aim of this paper is to summarize the treatment outputs of secondary angiosarcoma after breast conservation therapy at St. Eizabeth Cancer Centre, Slovakia.
DOI: 10.1016/j.rpor.2013.07.013
PubMed: 24936318
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pubmed:24936318Le document en format XML
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<author><name sortKey="Zemanova, Martina" sort="Zemanova, Martina" uniqKey="Zemanova M" first="Martina" last="Zemanova">Martina Zemanova</name>
<affiliation><nlm:affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia ; Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Machalekova, Katarina" sort="Machalekova, Katarina" uniqKey="Machalekova K" first="Katarina" last="Machalekova">Katarina Machalekova</name>
<affiliation><nlm:affiliation>Department of Pathology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Sandorova, Monika" sort="Sandorova, Monika" uniqKey="Sandorova M" first="Monika" last="Sandorova">Monika Sandorova</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Boljesikova, Elena" sort="Boljesikova, Elena" uniqKey="Boljesikova E" first="Elena" last="Boljesikova">Elena Boljesikova</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Skultetyova, Marta" sort="Skultetyova, Marta" uniqKey="Skultetyova M" first="Marta" last="Skultetyova">Marta Skultetyova</name>
<affiliation><nlm:affiliation>Department of Clinical Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Svec, Juraj" sort="Svec, Juraj" uniqKey="Svec J" first="Juraj" last="Svec">Juraj Svec</name>
<affiliation><nlm:affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Zeman, Andrej" sort="Zeman, Andrej" uniqKey="Zeman A" first="Andrej" last="Zeman">Andrej Zeman</name>
<affiliation><nlm:affiliation>Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.</nlm:affiliation>
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<author><name sortKey="Zemanova, Martina" sort="Zemanova, Martina" uniqKey="Zemanova M" first="Martina" last="Zemanova">Martina Zemanova</name>
<affiliation><nlm:affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia ; Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Machalekova, Katarina" sort="Machalekova, Katarina" uniqKey="Machalekova K" first="Katarina" last="Machalekova">Katarina Machalekova</name>
<affiliation><nlm:affiliation>Department of Pathology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
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<author><name sortKey="Sandorova, Monika" sort="Sandorova, Monika" uniqKey="Sandorova M" first="Monika" last="Sandorova">Monika Sandorova</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Boljesikova, Elena" sort="Boljesikova, Elena" uniqKey="Boljesikova E" first="Elena" last="Boljesikova">Elena Boljesikova</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Skultetyova, Marta" sort="Skultetyova, Marta" uniqKey="Skultetyova M" first="Marta" last="Skultetyova">Marta Skultetyova</name>
<affiliation><nlm:affiliation>Department of Clinical Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Svec, Juraj" sort="Svec, Juraj" uniqKey="Svec J" first="Juraj" last="Svec">Juraj Svec</name>
<affiliation><nlm:affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zeman, Andrej" sort="Zeman, Andrej" uniqKey="Zeman A" first="Andrej" last="Zeman">Andrej Zeman</name>
<affiliation><nlm:affiliation>Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.</nlm:affiliation>
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<series><title level="j">Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology</title>
<idno type="ISSN">1507-1367</idno>
<imprint><date when="2014" type="published">2014</date>
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<front><div type="abstract" xml:lang="en">The aim of this paper is to summarize the treatment outputs of secondary angiosarcoma after breast conservation therapy at St. Eizabeth Cancer Centre, Slovakia.</div>
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<pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24936318</PMID>
<DateCreated><Year>2014</Year>
<Month>06</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>06</Month>
<Day>17</Day>
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<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1507-1367</ISSN>
<JournalIssue CitedMedium="Print"><Volume>19</Volume>
<Issue>1</Issue>
<PubDate><Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology</Title>
<ISOAbbreviation>Rep Pract Oncol Radiother</ISOAbbreviation>
</Journal>
<ArticleTitle>Clinical management of secondary angiosarcoma after breast conservation therapy.</ArticleTitle>
<Pagination><MedlinePgn>37-46</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rpor.2013.07.013</ELocationID>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this paper is to summarize the treatment outputs of secondary angiosarcoma after breast conservation therapy at St. Eizabeth Cancer Centre, Slovakia.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Angiosarcoma of the breast is a rare but very aggressive malignant tumor of the vascular endothelium, characterized by rapidly proliferating and extensively infiltrating growth. 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. Radiotherapy in the treatment of breast cancer is associated with an increased risk of subsequent sarcoma.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Retrospective study of medical records from the cancer databases was done in order to analyze the secondary breast angiosarcoma. This disease is an iatrogenic condition that warrants close follow-up and judicial use of radiotherapy in breast conserving therapy. Therefore, it is more prevalent in cases treated with radiotherapy, occurring especially in or adjacent to the radiation field. Clinical histories and follow-up data of identified patients after breast conservation therapy of invasive breast cancer were reviewed. In addition, a comprehensive literature review on diagnosis and treatment procedures was done in order to summarize state-of-the-art clinical approach.</AbstractText>
<AbstractText Label="RESULTS AND DISCUSSIONS" NlmCategory="CONCLUSIONS">Three cases of secondary angiosarcoma after breast conservation therapy (BCT) were identified among 4600 patients treated at St. Elizabeth Cancer Institute during previous 16 years (1995-2011). Secondary breast angiosarcoma was diagnosed in a median period of 11 years following primary radiotherapy, median age at the time of diagnosis was 75 years. Surgical treatment consisted of radical mastectomy. The first patient, a 56-year-old woman received neoadjuvant chemotherapy (docetaxel + gemcitabin), second one (75 year) was treated by radiotherapy (TD 26 Gy, 2 Gy per fraction), since chemotherapy was not indicated. The last patient (80 year) got adjuvant chemotherapy (paclitaxel). Average follow up of the patients was 31 months. As of 31 July 2012, our patients were doing well without evidence of recurrent disease after treatment.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Angiosarcoma remains a difficult management problem with poor loco-regional and distal control. In our study, an overall incidence rate of secondary breast angiosarcoma is 0.065%. Although the prognosis for this disease is poor (typical survival period is 14.5-34 months with a 5-year survival rate of approximately 15%), all the three patients treated at our institute are alive and disease-free at the end of reported period. Finally, it is assumed that the use of breast conserving therapy will increase the incidence of post-irradiation angiosarcoma but the small difference in risk of subsequent sarcoma of the breast cancer patients receiving radiotherapy does not suppress its benefit.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zemanova</LastName>
<ForeName>Martina</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia ; Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Machalekova</LastName>
<ForeName>Katarina</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Pathology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sandorova</LastName>
<ForeName>Monika</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Boljesikova</LastName>
<ForeName>Elena</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Skultetyova</LastName>
<ForeName>Marta</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Clinical Oncology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Svec</LastName>
<ForeName>Juraj</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>1st Department of Oncology, Faculty of Medicine, Comenius University and St. Elisabeth Cancer Institute, Bratislava, Slovakia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Zeman</LastName>
<ForeName>Andrej</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.</Affiliation>
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<Language>eng</Language>
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