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01.12.2012 | case report | Ausgabe 4/2012

memo - Magazine of European Medical Oncology 4/2012

Primary angiosarcoma of the breast with a poor prognosis primarily masquerading as hemangioma

Zeitschrift:
memo - Magazine of European Medical Oncology > Ausgabe 4/2012
Autoren:
MD Heiko B. G. Franz, MD Ansgar Dellmann, MD Konrad Donhuijsen, cand. med. Annika Franz, MD Martina Becker-Schiebe

Abstract

Primary angiosarcoma (PAS) of the breast that has not received any previous radiotherapy is a rare and highly aggressive tumor with the diagnostic pitfall of a high histological differentiation. Surgical resection is the primary treatment for these tumors. Wide excision of the tumor or mastectomy is the gold standard of treatment, but there is a high risk for locoregional and distant recurrences. Here we present a case of a 47-year-old premenopausal woman with PAS of the breast masquerading as hemangioma on the first core biopsy. One month after wide excision of the tumor, local recurrence occurred and another 3 months later disseminated metastases were diagnosed in the lungs and in the spine of the patient.

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