Quantcast
Channel: VIETNAMESE MEDIC ULTRASOUND
Viewing all articles
Browse latest Browse all 624

CASE 684: PRIMARY BREAST SARCOMA, Dr PHAN THANH HẢI, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

$
0
0

A 61 year-old female patient suffers from 2 tumors of her right breast which are abandoned for 2 years by her husband's deadly illness.

Ultrasound  and elastography technique notes 2 BI-RADS 4B tumors of her right breast.





Mammography notes a non symetric sign in superiolateral region of the right breast.





MRI confirms the 2 BI-RADS 5 right malignant breast tumors: # 34x28 mm and # 21x 27 mm, spiculated border, high signals on T2W2 and medium signals on T1W1, captured contrast media type 3-2.




But the report of histoimmunology is a breast sarcoma while axillary lymph nodes are not in malignancy.






Surgery is done in large field, no mastectomy nor lymph node curetage due to the sarcoma tumor characters.





As no clue of gene mutation, the patient is planned for 3 months of 54Gy dosages in 27 times of  radiation therapy.

DISCUSSIONS:

Breast sarcome is a rare mesenchymal breast tumor (<1% cancer breast tumor). MRI,  mammography and ultrasound could not differentiaze breast sarcoma from other breast cancer tumors.
Core biopsy and histoimmunologic exam are keys of diagnosis.
Surgery could save patient life that sarcoma invades in situ and rarely via the blood stream. Chemotherapy and radiation may be managed in case of metastase and spreading. Liver, lung, bone marrow and recurrent breast tumor may happen in the first 2 years.  The 5-year survival rate reported in the literature ranges from50% to 64% for the breast sarcoma.


REFERENCES:














Viewing all articles
Browse latest Browse all 624

Trending Articles