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[1例乳腺癌保乳手术联合放疗后发生的乳腺血管肉瘤]

[A Case of Angiosarcoma of the Breast Following Breast-Conserving Surgery with Radiotherapy for Breast Cancer].

作者信息

Sawatsubashi Takahiro, Nakatsuka Hideki, Nihei Kouei

机构信息

Dept. of Surgery, Tsubame Rosai Hospital.

出版信息

Gan To Kagaku Ryoho. 2017 Nov;44(12):1428-1430.

Abstract

We report a case of angiosarcoma of the breast following breast-conserving surgerywith radiotherapyfor breast cancer. The patient was 82-year-old woman, developed induration and eruption in the bilateral breast more than 8 years after the initial operation for breast cancer. The induration was diagnosed as angiosarcoma based on skin-biopsyand vacuum-assisted biopsy. The patient received simple mastectomy, and has been become recurrent condition about one month after simple mastectomy. We operated partial excision for recurrence tumor. She is still alive after rearly 1 year of past operation. There are no established therapies for angiosarcoma of the breast following breast-conserving surgerywith radiotherapyfor breast cancer. Although radiotherapy-induced sarcoma is rare, earlydetection of the tumor in the irradiation area is important, as radiotherapyis often performed for the breast cancer patients. This interesting case of angiosarcoma of the breast after breast-conserving surgeryfor breast cancer is reported.

摘要

我们报告了一例乳腺癌保乳手术后放疗引发的乳腺血管肉瘤病例。患者为一名82岁女性,在乳腺癌初次手术后8年多,双侧乳房出现硬结和皮疹。基于皮肤活检和真空辅助活检,硬结被诊断为血管肉瘤。患者接受了单纯乳房切除术,单纯乳房切除术后约1个月病情复发。我们对复发性肿瘤进行了局部切除。在过去手术近1年后她仍然存活。对于乳腺癌保乳手术后放疗引发的乳腺血管肉瘤,目前尚无既定的治疗方法。尽管放疗诱发的肉瘤很罕见,但由于乳腺癌患者经常接受放疗,所以在放疗区域早期发现肿瘤很重要。本文报告了这例有趣的乳腺癌保乳手术后乳腺血管肉瘤病例。

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