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乳腺癌手术后诊断与淋巴水肿相关血管肉瘤的影像学考量

Radiological Considerations in Diagnosing Angiosarcoma Associated With Lymphedema Following Breast Cancer Surgery.

作者信息

Choi Eun Jung, Chae Gwang Min, Shin Jinyong, Roh Si-Gyun, Lee Nae-Ho

机构信息

Department of Radiology, Medical School of Jeonbuk National University, Jeonju, Korea.

Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.

出版信息

J Breast Cancer. 2025 Apr;28(2):119-124. doi: 10.4048/jbc.2024.0297.

DOI:10.4048/jbc.2024.0297
PMID:40313122
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12046355/
Abstract

Angiosarcoma associated with lymphedema is a rare soft tissue malignancy that occurs owing to chronic lymphedema, primarily following breast cancer surgery. We present a case of an 83-year-old female who developed angiosarcoma 14 years after undergoing breast cancer surgery. Diagnosis was confirmed through excisional biopsy, histopathological evaluation, and imaging. Computed tomography and magnetic resonance imaging revealed diffuse dermal thickening with an enhanced subcutaneous nodular lesion on the right arm. This unusual case emphasizes the importance of vigilant monitoring in patients with chronic lymphedema post-breast cancer surgery, as early radiologic and clinical detection can facilitate timely intervention and improve outcomes.

摘要

与淋巴水肿相关的血管肉瘤是一种罕见的软组织恶性肿瘤,主要发生在乳腺癌手术后的慢性淋巴水肿患者中。我们报告一例83岁女性患者,在接受乳腺癌手术后14年发生了血管肉瘤。通过切除活检、组织病理学评估和影像学检查确诊。计算机断层扫描和磁共振成像显示右臂弥漫性皮肤增厚,皮下有一个增强的结节性病变。这个不寻常的病例强调了对乳腺癌手术后慢性淋巴水肿患者进行密切监测的重要性,因为早期的影像学和临床检测可以促进及时干预并改善预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/a1dddeab53ae/jbc-28-119-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/851b74447c05/jbc-28-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/f2f650babe58/jbc-28-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/a1dddeab53ae/jbc-28-119-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/851b74447c05/jbc-28-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/f2f650babe58/jbc-28-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9338/12046355/a1dddeab53ae/jbc-28-119-g003.jpg

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