medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2007, Number 03

<< Back Next >>

Ginecol Obstet Mex 2007; 75 (03)

Recurrent breast haematoma after fine needle aspiration biopsy of angiosarcoma

Ortíz MCM

Language: Spanish
References: 28
Page: 164-167
PDF size: 235.38 Kb.


ABSTRACT

It is reported a rare complication after a fine needle aspiration biopsy of a breast angiosarcoma. A 30-years-old female presented with a right breast lump. An ovoid, hypoecoic lesion of 39 x 13 mm was detect by ultrasonography. A fine needle aspiration biopsy was carried out for diagnosis, but only blood was report. After the biopsy the skin showed a violaceous color, the lump was tender, reappeared in three instances and increased its size (15 cm). In spite of conservative management the pain and the mass did not disappear, then surgical management was decided. A soft, violaceous mass of 13 x 6 x 4 cm, with well demarcated boundaries was removed. A capillary and cavernous breast hemangioma was diagnosed. Four months later a recurrence presented, and a new excision was carried out with a resulting moderately differentiated angiosarcoma, then a simple mastectomy was performed for definitive treatment. On a literature search only one similar case was found. A recurrent haematoma after a fine needle aspiration biopsy of a breast tumor mandates to rule out an angiosarcoma.


REFERENCES

  1. Wilkinson EJ, Massod S. Cytologic needle sampling of the breast: techniques and end results. In: Bland KI, Copeland EM III, editors. The breast. Comprehensive management of benign and malignant diseases. Philadelphia: WB Saunders, 1998;pp:705-35.

  2. Rodgers WH, Alvarez RD. Biopsia por aspiración con aguja fina del tracto genital femenino y de la mama. En: Shingleton HM, Fowler WC Jr, Jordan JA, Lawrence WD, editores. Oncología ginecológica. Diagnóstico y tratamiento. México: McGraw-Hill Interamericana, 1998;pp:499-505.

  3. Alonso P, Duarte-Torres RM. Diagnóstico citológico. En: Sánchez Basurto C, editor. Compendio de patología mamaria. México: Ciencia y Cultura Latinoamericana, 1999;pp:83-86.

  4. Winer EP, Morrow M, Osborne CK, Harris JR. Cancer of the breast: malignant tumors of the breast. En: DeVita VT Jr, Hellman S, Rosemberg SA, editors. Cancer. Principles and practice of oncology. 6th ed. Philadelphia: Lippincott Williams and Wilkins, 2001;pp:1651-1717.

  5. Hindle WH. Brest mass evaluation. Clin Obstet Gynecol 2002;45:750-7.

  6. Aurello P, Cicchini C, Mingazzini P. Hemangioma of the breast: an unusual lesion without univocal diagnostic findings. J Exp Clin Cancer Res 2001;20:611-3.

  7. Christodoulakis M, Gontikakis E, Gianniakaki E, Gaki V, Tsiftsis D. Primary angiosarcoma of the breast. Eur J Surg Oncol 1998;24:76-78.

  8. North JH, McPhee M, Arredondo M, Edge SB. Sarcoma of the breast: implications of the extent of local therapy. Am Surg 1998;64:1059-61.

  9. Mansouri H, Jalil A, Choho L, Souadka A, Gueddari B. Unusual aspects of the breast cancer: angiosarcoma of the breast. J Clin Oncol 2001;19:2570-1.

  10. Sandoval-Guerrero F, Moreno MM, Avecilla GC, Martín RJ. Angiosarcoma mamario. Ginecol Obstet Mex 2000;68:460-6.

  11. Jozefcyk MA, Rosen PP. Vascular tumors of the breast. II perilobular hemangiomas and hemangiomas. Am J Surg Pathol 1985;9:491-503.

  12. Markopoulos C, Sampalis F, Gogas H, Despotidis P, Kyriakou V. Cavernous haemangioma of the breast: a case report. Eur J Gynaec Oncol 1998;19:246-8.

  13. Dener C, Sengul N, Tez S, Caydere M. Hemangiomas of the breast. Eur J Surg 2000;166:977-9.

  14. Galindo LM, Shienbaum AJ, Dwyer-Joyce L, Garcia FU. Atypical hemangioma of the breast: a diagnostic pitfall in breast fine-needle aspiration. Diagn Cytopathol 2001;24:215-8.

  15. Hoda SA, Cranor ML, Rosen PP. Hemangiomas of the breast with atypical histological features: further analysis of histological subtypes confirming their benign character. Am J Surg Pathol 1992;16:553-60.

  16. Vuorela AL. MRI of breast hemangioma. J Comput Assit Tomography 1998;22:1009-10.

  17. Britt LD, Lambert P, Sharma R, Ladaga LE. Angiosarcoma of the breast. Initial misdiagnosis is still common. Arch Surg 1995;130:221-3.

  18. Courcoutsakis NA, Hill SC, Chow CK, Gralnick H. Breast hemangiomas in a patient with Kasabach-Merritt syndrome: imaging findings. Am J Roentgenol 1997;169:1397-9.

  19. Perugini G, Bonini G, Giardina C, Mapelli L. Cavernous hemangioma of the pectoralis muscle mimicking a breast tumor. Am J Roentgenol 1994;162:1321-2.

  20. Coronel-Brizio P, Uscanga CE, Noguera MJL, Libreros MEA. Hemangioma mamario. Ginecol Obstet Mex 2003;71:527-31.

  21. Layfield LJ, Dodd LG. Cytologically low grade malignancies: an important interpretative pitfall responsible for false negative diagnoses in fine-needle aspiration of the breast. Diagn Cytopathol 1996;15:250-9.

  22. Liu K, Layfield LJ. Cytomorphologic features of angiosarcoma on fine needle aspiration biopsy. Acta Cytol 1999;43:407-15.

  23. Assalia A, Schein M. Severe haemorrhagic complication following needle or open biopsy of a breast mass: suspect angiosarcoma. Br J Surg 1992;79:469.

  24. Blanchard DK, Reynolds CA, Grant CS, Donahue JH. Primary nonphylodes breast sarcomas. Am J Surg 2003;186:359-61.

  25. Johnson CM, Garguilo GA. Angiosarcoma of the breast: A case report and literature review. Curr Surg 2002;59:490-4.

  26. Sur RK, Nayler S, Ahmed SN, Donde B, et al. Angiosarcomas-clinical profile, pathology and management. S Afr J Surg 2000;38:13-6.

  27. Vorburger SA, Xing Y, Hunt KK, Lakin GE, et al. Angiosarcoma of the breast. Cancer 2005;104:2682-8.

  28. Adem C, Reynolds C, Ingle JN, Nascimento AG. Primary breast sarcoma: clinicopathologic series from the Mayo Clinic and review of the literature. Br J Cancer 2004;91:237-41.




2020     |     www.medigraphic.com