Primary Angiosarcoma of the Breast - Presentation of a Clinical Case

Alexander Antonio Jara Chavez; Carolina Vanessa Saldana Rodriguez; Wendy Vanessa Vaca Vega; Bryan Rodrigo Vaca Morejon; Victor Alfonso Teran Perez; Pamela Elizabeth Rosero Prado; Pamela Johanna Picoita Solorzano

Volume : IX, Issue : IV, April - 2020

Primary Angiosarcoma of the Breast - Presentation of a Clinical Case

Alexander Antonio Jara Chavez, Carolina Vanessa Saldana Rodriguez, Wendy Vanessa Vaca Vega, Bryan Rodrigo Vaca Morejon, Victor Alfonso Teran Perez, Pamela Elizabeth Rosero Prado, Pamela Johanna Picoita Solorzano

Abstract :

Objectives: Describe the frequency, possible causes, clinical, diagnosis, prognosis, complications and possible treatment of this disease. Method: A retrospective study was carried out, monitoring the patient from the detection of the lesion in the east, carrying out diagnostic tests until its outcome. Results: A 42-year-old female patient with a history of fioadenoma exeresis of both mammary glands; after approximately 5 years with a new non-painful lesion, approximately 4 centimeters in diameter in the left east, detected in manual self-examination. Negative exams (east ultrasound, core biopsy) for malignancy. Due to an increase in the lesion involving the skin and ulcerating it, a Wide Left Total Mastectomy was performed, histopathological confirming: Primary Angiosarcoma of the Breast. Metastatic lesions were presented at the surgical site and lungs level; patient dies weeks later. Conclusion: Primary angiosarcoma of the east is an infrequent and aggressive neoplasm with an unknown etiology. Although clinical data and imaging tests may guide the diagnosis, histological and immunohistochemical study will be necessary to determine the diagnosis. Because it is a tremendously aggressive disease, the prognosis in almost all patients is very poor; therefore, early diagnosis is emphasized. Mastectomy is the treatment of choice accompanied or not by adjuvant chemotherapy, the benefits of which have not yet been defined.