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Desbiens C, Hogue JC, Lévesque Y. Primary breast angiosarcoma: avoiding a common trap. Case Rep Oncol Med. 2011;2011:517047doi: 10.1155/2011/517047.
Desbiens, C., Hogue, J. C., & Lévesque, Y. (2011). Primary breast angiosarcoma: avoiding a common trap. Case reports in oncological medicine, 2011517047. https://doi.org/10.1155/2011/517047
Desbiens, Christine, et al. "Primary breast angiosarcoma: avoiding a common trap." Case reports in oncological medicine vol. 2011 (2011): 517047. doi: https://doi.org/10.1155/2011/517047
Desbiens C, Hogue JC, Lévesque Y. Primary breast angiosarcoma: avoiding a common trap. Case Rep Oncol Med. 2011;2011:517047. doi: 10.1155/2011/517047. Epub 2011 Jul 06. PMID: 22611503; PMCID: PMC3350177.
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Case Rep Oncol Med. 2011;2011:517047. doi: 10.1155/2011/517047. Epub 2011 Jul 06.

Primary breast angiosarcoma: avoiding a common trap.

Case reports in oncological medicine

Christine Desbiens, Jean-Charles Hogue, Yves Lévesque

Affiliations

  1. Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, CHA Universitaire de Québec, 1050 chemin Sainte-Foy, Québec City, QC, Canada G1S 4L8.

PMID: 22611503 PMCID: PMC3350177 DOI: 10.1155/2011/517047

Abstract

Background. Primary breast angiosarcoma is a rare entity. Case. Initial diagnosis was a benign hemangioma at core biopsy. Wide local excision was performed, with positive margins. Pathology after surgery reported a moderately differentiated angiosarcoma. Tumor was finally treated using mastectomy and radiations. She developed a second angiosarcoma in contralateral breast, with an initial diagnosis on core biopsy of an atypical vascular lesion and was again treated using mastectomy and radiations. She developed bones and lung metastases. Conclusion. Primary breast angiosarcoma is a rare entity often difficult to diagnose on core biopsy, and a benign differential diagnosis is frequent. A highly vascular breast mass should always be considered malignant until proven otherwise. Surgical treatment seems to be the best course of action. There is a lack of data proving efficacy of adjuvant chemotherapy and radiation therapy.

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