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以MRI上非肿块强化为初始表现的乳腺放射性血管肉瘤

Radiation-associated angiosarcoma of the breast with initial presentation as non-mass enhancement on MRI.

作者信息

Gonzalez Tomas V, Sae-Kho Tiffany M, Robinson Steven I, Hieken Tina J, Folpe Andrew L, Broski Stephen M, Degnim Amy C, Glazebrook Katrina N

机构信息

Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905 USA.

Department of Medical Oncology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905 USA.

出版信息

Radiol Case Rep. 2022 Jul 29;17(10):3624-3629. doi: 10.1016/j.radcr.2022.07.019. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.07.019
PMID:35923341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9340125/
Abstract

Radiation-associated angiosarcoma of the breast (RAASB) is a rare and aggressive malignancy occurring after radiation therapy as part of breast cancer treatment. RAASB usually presents several years after prior radiation and typically involves the skin with or without involvement of the parenchyma. Most RAASB are detected as cutaneous changes on physical exam. Herein, we present a unique case of a clinically occult RAASB diagnosed as non-mass enhancement on annual surveillance breast MRI.

摘要

乳腺放疗相关血管肉瘤(RAASB)是一种罕见且侵袭性强的恶性肿瘤,发生于乳腺癌治疗的放疗之后。RAASB通常在既往放疗数年之后出现,典型表现为累及皮肤,可伴有或不伴有实质受累。多数RAASB通过体格检查发现皮肤改变得以确诊。在此,我们报告一例独特的临床隐匿性RAASB病例,该病例在年度乳腺MRI筛查时被诊断为非肿块强化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d08b/9340125/348449f2ba12/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d08b/9340125/348449f2ba12/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d08b/9340125/348449f2ba12/gr4.jpg

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本文引用的文献

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2
Multidisciplinary Intervention in Radiation-Associated Angiosarcoma of the Breast: Patterns of Recurrence and Response to Treatment.乳腺放射性血管肉瘤的多学科干预:复发模式及对治疗的反应
Ann Surg Oncol. 2022 Jan;29(1):522-532. doi: 10.1245/s10434-021-10477-1. Epub 2021 Aug 18.
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Angiosarcoma of the Breast: Management and Outcomes.
乳腺血管肉瘤:治疗与预后
Am J Clin Oncol. 2020 Nov;43(11):820-825. doi: 10.1097/COC.0000000000000753.
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