Alexandrova Elena, Sergieva Sonya, Mihaylova Iglika, Zarkova Antoaneta
National Specialized Hospital of Oncology, Sofia, Bulgaria.
Sofia Cancer Center, Sofia, Bulgaria.
Rep Pract Oncol Radiother. 2013 Dec 8;19(3):221-5. doi: 10.1016/j.rpor.2013.10.003. eCollection 2014 May.
Primary angiosarcoma of the breast (PAB) accounts for 0.04% of all breast malignant tumors. It affects young women usually at third or fourth decades of life. PAB clinically manifests as a painless, movable mass with sharp limits. A bluish red discoloration of the overlying skin is often observed. Enlargement of axillary lymph nodes generally does not occur. Angiosarcoma of the breast has a very poor prognosis due to the tendency to metastasize haematogenously and high frequency of local recurrence. Mastectomy and chemotherapy are preferable treatment choices. This paper presents a case of primary angiosarcoma of the breast with a syndrome of disseminated intravascular coagulation (DIC).
乳腺原发性血管肉瘤(PAB)占所有乳腺恶性肿瘤的0.04%。它通常影响二三十岁的年轻女性。PAB临床上表现为边界清晰、可移动的无痛性肿块。常可见覆盖其上的皮肤呈蓝红色变色。腋窝淋巴结一般不肿大。乳腺血管肉瘤预后很差,因为其有血行转移倾向和局部复发频率高。乳房切除术和化疗是较好的治疗选择。本文报告了一例伴有弥散性血管内凝血(DIC)综合征的乳腺原发性血管肉瘤病例。