Angiosarcoma en linfedema crónico posmastectomía
Objective: report a case of angiosarcoma in chronic lymphedema, discuss the differential diagnoses taking into account that early diagnosis of this entity represents the only chance of changing the natural evolution of the disease. Case report: a 78-year-old female who underwent a mastectomy on...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=2693 |
| Sumario: | Objective: report a case of angiosarcoma in chronic lymphedema, discuss
the differential diagnoses taking into account that early diagnosis of this
entity represents the only chance of changing the natural evolution of the
disease.
Case report: a 78-year-old female who underwent a mastectomy on her left
breast and treated with radiotherapy in 1990, slowly developed in 2000 a
progressive lymphedema in the same limb and thoracic wall, with some fastgrowing
hemorrhagic lesions since November 2006. Because of the
aggressiveness of the disease, the patient was hospitalized to perform
biopsies, corroborate the Stewart-Treves syndrome, study for metastatic
extensions, control pain and evaluate possible therapies.
Conclusions: 1). The interval between the breast cancer diagnosis and this
entity is 10-20 years. 2). The survival rate is less than 5%. 3). The
therapeutic possibilities are very aggressive and offer poor results. 4). The
prognosis depends on the early clinical suspicion and prompt surgical
therapy.
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