SonoWorld.com uses cookies to improve your experience on the site. Your continued use of the site constitutes your acceptance of use of cookies on this site.
Find out more about how SonoWorld uses cookies. I’m OK with Cookies from SonoWorld - stop showing me this banner.
×
 
169,773 Registered Members as of 12/09/2018.
Breast » Breast
Angiosarcoma of the breast
« Back to Listing
 
 
Presentation A 57-year-old woman presented with a recently palpable mass in the left breast. Prior yearly screening mammograms have been negative. Patient has a history of Hodgkins disease treated successfully 25 yrs ago and has been disease free since then.
 
 
 
Caption: Comparative cranio-caudal views of the breast
Description: An area of increased density with highly irregular margins is seen in the left breast [clinically corresponds to the palpable abnormality]. Few foci of benign calcification are seen in the right breast.
 
 
 
Caption: Comparative medio-lateral oblique views
Description: The area of increased density is localized to the upper quadrant of the breast. This is highly suspicious for a malignant mass. Benign calcific foci are noted again in the right breast.
 
 
 
Caption: Ultrasound of the palpable mass in the left breast
Description: The sonogram demonstrated a hyperechoic mass with heterogeneous internal echoes.
 
Differential Diagnosis Angiosarcoma, spindle cell tumor, lipoma
 
Final Diagnosis Low grade angiosarcoma
 
Discussion • Angiosarcoma is one of the commonest non phyllodes primary breast sarcomas. The latter group only accounts for less than 1 percent of breast malignancies.
• The majority of studies show a strong relationship between this tumor and prior radiation therapy with a large percentage occurring after breast conservation with radiation.
• There are no specific imaging signs for the diagnosis of these tumors
 
Follow Up Core biopsy was performed with subsequent excisional biopsy. Pathology demonstrated a low grade angiosarcoma.
 
Other contents by this AuthorOther Cases in This Category