Background. Post-irradiation breast sarcoma is a rare and highly aggressive tumor, associated with poor prognosis. However, the mean latent periods reported for postradiation sarcomas after treatment of breast cancer ranges from 5 to 10 years. Case. We present a rare case of fibrosarcoma of the axilla, diagnosed 23 months after breast surgery and irradiation for medullary poorly differentiated carcinoma, treated with wide local excision with resection of the serratus anterior muscle until pleural wall. Conclusion. This case confirm a possible early appearance of sarcoma in the irradiation field after radiotherapy. Thus, when a nodule appears in the irradiation field even if within 2 years after radiotherapy, physician should be alert for a possible sarcoma and wide biopsy with histologic confirmation is auspicable. (c) 2006 Elsevier Inc. All rights reserved.
An unusual case of secondary fibrosarcoma after treatment for breast cancer / Francesco, Plotti; DI DONATO, Violante; Marzio Angelo, Zullo; Roberto, Angioli; BENEDETTI PANICI, Pierluigi. - In: GYNECOLOGIC ONCOLOGY. - ISSN 0090-8258. - 103:3(2006), pp. 1133-1136. [10.1016/j.ygyno.2006.07.014]
An unusual case of secondary fibrosarcoma after treatment for breast cancer
DI DONATO, VIOLANTE;BENEDETTI PANICI, PIERLUIGI
2006
Abstract
Background. Post-irradiation breast sarcoma is a rare and highly aggressive tumor, associated with poor prognosis. However, the mean latent periods reported for postradiation sarcomas after treatment of breast cancer ranges from 5 to 10 years. Case. We present a rare case of fibrosarcoma of the axilla, diagnosed 23 months after breast surgery and irradiation for medullary poorly differentiated carcinoma, treated with wide local excision with resection of the serratus anterior muscle until pleural wall. Conclusion. This case confirm a possible early appearance of sarcoma in the irradiation field after radiotherapy. Thus, when a nodule appears in the irradiation field even if within 2 years after radiotherapy, physician should be alert for a possible sarcoma and wide biopsy with histologic confirmation is auspicable. (c) 2006 Elsevier Inc. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.