Separović V, Sarcević B, Knezević F, Spoljar-Sćukanec M, Kosanović S, Nola P
Odjela za patologiju i citologiju Sredisnjeg instituta za tumore i slicne bolesti u Zagrebu.
Lijec Vjesn. 1990 Jul-Aug;112(7-8):224-7.
The authors describe angiosarcoma of the right breast, together with the pathohistologic and electron microscopic analysis and survey of the literature of this rare tumor. The greatest tumor diameter was 4.5 cms. Mastectomy and the axilla's dissection was performed and additionally, radiotherapy was undertaken. In the first biopsy the wrong diagnosis of ductal invasive carcinoma was made. Three years later a metastasis appeared in the left axilla when angiosarcoma was established. The revision of primary tumor of the right breast showed that previously it was angiosarcoma of the right breast, too. In this article the authors direct attention to the possibility of wrong diagnosis of benign or malignant tumor and list the results taken from the world literature. Following those results, the wrong diagnoses were made in 37% of the cases with breast angiosarcoma.
作者描述了右乳腺血管肉瘤,同时进行了病理组织学和电子显微镜分析,并对该罕见肿瘤的文献进行了综述。肿瘤最大直径为4.5厘米。进行了乳房切除术和腋窝清扫术,此外还进行了放射治疗。首次活检时误诊为导管浸润癌。三年后,左腋窝出现转移,此时确诊为血管肉瘤。对右乳腺原发肿瘤的复查显示,之前它也是右乳腺血管肉瘤。在本文中,作者提请注意良性或恶性肿瘤误诊的可能性,并列出了从世界文献中获取的结果。根据这些结果,乳腺血管肉瘤病例中有37%被误诊。