Abstract

ARGUELLES PEREZ, Onasis; PEREZ MARTINEZ, Marina  and  PENA CEDENO, Adis. Primary breast angiosarcoma. Rev Cubana Obstet Ginecol [online]. 2013, vol.39, n.1, pp. 53-62. ISSN 0138-600X.

Introduction: primary angiosarcoma of the breast is a rare tumor of blood vessels, which account 8 % of breast sarcomas and 1 % of malignant breast lesions. It occurs between the third and fourth decades of life, with a mortality approaching 90 % two years later. The etiology is not well specified. It spreads mainly hematogenously to the lungs and bones and rarely by the lymphatic via. Surgery offers the best chance of treatment, while radio and chemotherapy are not associated with good response. The reported mean survival is about 20 months. Objective: to report the case of a patient with a diagnosis of angiosarcoma of the breast, and this case behavior and evolution. Methods: a literature review was carried out on the subject. Details of the diagnosis of angiosarcoma of the breast and its treatment in an 85 year-old patient treated at Guanabacoa Teaching Hospital is presented here. Results: a simple mastectomy without axillary clearance was performed on February 9, 2009. No adjuvant was used. This patient was followed up for two years until her death due to lung metastases. Conclusion: the histological diagnosis was angiosarcoma of the breast. In this institution, only this case had been diagnosed since 1985.

Keywords : breast angiosarcoma; simple mastectomy; metastasis.

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