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Angiosarcoma of the Breast
Leslie M. Rainwater, MD;
J. Kirk Martin, Jr, MD;
Thomas A. Gaffey, MD;
Jon A. van Heerden, MB, ChB
Arch Surg. 1986;121(6):669-672.
Abstract
The clinical histories, operative reports, and pathologic slides of 20 patients seen between 1907 and 1984 with diagnoses of angiosarcoma, hemangiosarcoma, and hemangioendothelioma were reviewed. The mean age of the 19 female patients and one male patient was 40.05 years (range, 16 to 67 years). Ten patients had the right breast involved, and five patients had contralateral breast involvement. Presenting symptoms included a mass in 20 patients, pain in ten patients, and breast discoloration in six patients. Before referral, ten patients had the misdiagnosis of a benign breast lesion. Because of the deceptively benign appearance of many angiosarcomas, these lethal tumors are often misdiagnosed as benign hemangiomas. Simple mastectomy is the treatment of choice, while adjuvant therapy remains to be evaluated.
(Arch Surg 1986;121:669-672)
Author Affiliations
From the Sections of Urologic Research (Dr Rainwater), Gastroenterologic and General Surgery (Drs Martin and van Heerden), and Surgical Pathology (Dr Gaffey), Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
Accepted for publication March 11, 1986.
Read before the 93rd Annual Meeting of the Western Surgical Association, Rochester, Minn, Nov 18, 1985.
Reprint requests to Section of Gastroenterologic and General Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (Dr Martin).
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ABSTRACT
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