Bilateral primary angiosarcoma of the breast: a case report

Primary angiosarcoma of the breast is very rare, accounting for 0.05% of all malignant breast tumors. It has very high malignant potential and poor prognosis, though due to the rarity of the disease, there is no established treatment. We report this case along with a literature review. We report the...

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Bibliographic Details
Published in:Journal of medical case reports 2023-02, Vol.17 (1), p.60-60, Article 60
Main Authors: Ooe, Yuka, Terakawa, Hirofumi, Kawashima, Hiroko, Ikeda, Hiroko, Inaki, Noriyuki
Format: Article
Language:English
Subjects:
Adult
Angiosarcoma
Arterial embolization
Biopsy
Breast
Breast cancer
Breast feeding
Breast Neoplasms - pathology
Breastfeeding
Breastfeeding & lactation
Cancer
Cancer therapies
Case Report
Case reports
Chemotherapy
Combined Modality Therapy
Development and progression
Embolization
Female
Health aspects
Hemangiosarcoma - diagnostic imaging
Hemangiosarcoma - therapy
Humans
Laboratories
Liver
Liver Neoplasms - complications
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - therapy
Lymphatic system
Magnetic resonance imaging
Mammography
Mastectomy
Medical prognosis
Metastasis
Mutation
Prognosis
Radiation therapy
Radiotherapy
Surgery
Tumors
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Summary:Primary angiosarcoma of the breast is very rare, accounting for 0.05% of all malignant breast tumors. It has very high malignant potential and poor prognosis, though due to the rarity of the disease, there is no established treatment. We report this case along with a literature review. We report the case of a 30-year-old Asian woman who was diagnosed with bilateral primary angiosarcoma of the breast while breastfeeding. After surgery, she underwent radiation therapy, chemotherapy, and hepatic arterial infusion chemotherapy for local recurrence of liver metastases, but these were ineffective, and she required several arterial embolization procedures for intratumoral bleeding and rupture of liver metastases. Angiosarcoma has a poor prognosis due to a high rate of local recurrence and distant metastasis. Although there is no established evidence for radiotherapy or chemotherapy, multimodality treatment may be necessary because of the high malignancy and rapid progression of the disease.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-023-03791-7