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[Sarcoma of the breast].
F Haberthür1, A C Almendral, G Feichter
1Universitäts-Frauenklinik, Basel.
Helvetica Chirurgica Acta
|May 1, 1992
Summary
Breast sarcomas are rare mammary malignancies. This case series highlights treatment outcomes, with 4 of 5 patients surviving long-term after surgery, suggesting surgical management is key for these rare tumors.
Area of Science:
- Oncology
- Surgical Pathology
Context:
- Breast sarcoma is a rare malignancy, accounting for 0.2-1% of all breast cancers.
- This study presents a case series of five distinct breast sarcoma subtypes.
Purpose:
- To report on the clinical presentation and treatment outcomes of five breast sarcoma cases.
- To evaluate the effectiveness of different surgical and adjuvant treatments for breast sarcoma.
Summary:
- Five breast sarcoma cases were treated, including osteosarcoma, fibrosarcoma, liposarcoma, and malignant fibrous sarcoma.
- Treatments included mastectomy with or without axillary lymph node excision and prosthesis reconstruction.
- One patient experienced local recurrence and mortality; the other four remain disease-free with long-term survival (12 months to 17 years).
Impact:
- Current findings suggest that surgical management, specifically wide local excision or simple mastectomy, is the primary effective treatment for breast sarcoma.
- Adjuvant therapies like axillary lymphadenectomy, radiotherapy, and chemotherapy have shown limited efficacy in managing breast sarcoma.