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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Bilateral angiosarcoma of breast in a young lady
Sanjoy Roy1, Devleena, Tapas Maji
1Department of Radiotherapy, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India.
Summary
This case study details a rare instance of bilateral breast angiosarcoma in a 29-year-old female. Treatment involved mastectomy, lymph node dissection, radiotherapy, and chemotherapy.
Area of Science:
- Oncology
- Surgical Pathology
- Radiotherapy
Background:
- Angiosarcoma of the breast is a rare malignancy, often presenting as a palpable mass.
- Bilateral involvement is exceptionally uncommon, posing diagnostic and therapeutic challenges.
Observation:
- A 29-year-old unmarried female presented with bilateral breast lumps.
- Histopathological examination revealed low-grade angiosarcoma in the left breast and high-grade angiosarcoma in the right breast.
- Computed tomography (CT) of the thorax identified lymph node involvement in the right hilum and mediastinum.
Findings:
- The patient underwent bilateral mastectomy with axillary lymph node dissection.
- Postoperative treatment included radiotherapy and chemotherapy to address the malignancy and nodal spread.
Implications:
- This case highlights the importance of considering rare diagnoses like bilateral breast angiosarcoma in young women presenting with breast masses.
- Multimodality treatment, including surgery, radiotherapy, and chemotherapy, is crucial for managing this aggressive cancer.
- Further research into the etiology and optimal treatment strategies for bilateral breast angiosarcoma is warranted.
