Quand une tumeur en cache une autre… Angiosarcome mammaire radio-induit bilatéral multirécividant associé à la récidive d’un carcinome canalaire invasif mucineux
(2023) Imagerie de la Femme — Vol. 33, n° 4, p. 204-209 (2023)
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- Abstract
- (en) We report the case of a 59-year-old patient who presented with right mastodynia and breast induration for 4 weeks, in the context of conservative treatment of invasive ductal cancer of the mucinous type 8 years ago associated with hormone therapy and radiotherapy sessions. Ultrasound showed thickening of the dermis and densification of the breast stroma, which led to further exploration, including MRI, ultrasound-guided microbiopsies and a PET-CT, confirming the diagnosis of radiation-induced breast angiosarcoma. Left preventive mastectomy revealed bilateral radiation-induced breast angiosarcoma. The one-year follow-up MRI showed the presence of suspicious nodular lesions on the right chest wall, which proves to be a recurrence of the primary breast carcinoma, while the breast angiosarcoma will also recur several times on the right. We will detail the radiological, anatomopathological, therapeutic and prognostic particularities of radiation-induced breast angiosarcoma.
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Citations
Chabot, C., Coman, C.-G., Duhem, C., Ries, F., Kleine Borgmann, F., Chouchane Mlik, O., El Azzouzi, D., & Janssens, D. (2023). Quand une tumeur en cache une autre… Angiosarcome mammaire radio-induit bilatéral multirécividant associé à la récidive d’un carcinome canalaire invasif mucineux. Imagerie de la Femme, 33(4), 204-209. https://doi.org/10.1016/j.femme.2023.03.013 (Original work published 2023)