Dermatofibrosarcoma presenting as a nodule in the breast of a 75-year-old woman: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-10-05

AUTHORS

Olivier Cottier, Maryse Fiche, Jean-Yves Meuwly, Jean-François Delaloye¹

ABSTRACT

IntroductionDermatofibrosarcoma protuberans is a rare neoplasm of soft tissues and its location in the breast is extremely uncommon. Confusion is possible with other primary breast lesions.Case presentationA 75-year-old Caucasian woman presented with a mass in her left breast 21 years after being diagnosed with invasive ductal carcinoma of the right breast, treated by a right mastectomy and axillary dissection followed by radiotherapy and breast reconstruction. Mammography revealed a dish-shaped skin nodule formation in the upper outer quadrant of her left breast. Echography confirmed the presence of a lesion measuring 1.4 × 0.8 cm. Based on imaging, the diagnosis was a probable angiosarcoma. Due to the presence of a pacemaker for cardiac arrhythmia and full anticoagulation therapy for a pulmonary embolism, magnetic resonance imaging and a biopsy were not done. We proceeded directly to a quadrantectomy and the final diagnosis revealed a dermatofibrosarcoma protuberans, 1. 8 cm in its greatest microscopic dimension, located 0.1 cm from the upper surgical margin. To ensure the wide resection margins required for this type of neoplasm, a re-excision was performed.ConclusionA dermatofibrosarcoma protuberans of the breast is an uncommon discovery. The aim of this case report is to highlight the importance of the surgical procedure in cases of the discovery of dermatofibrosarcoma protuberans. Re-excision may be necessary to ensure adequate resection margins. More... »

PAGES

503

References to SciGraph publications

  • 2009-02-10. Current treatment options in dermatofibrosarcoma protuberans in JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
  • 2006-08. Dermatofibrosarcoma protuberans: review of 20-years experience in CLINICAL AND TRANSLATIONAL ONCOLOGY
  • 2010-06-03. Late local recurrence of dermatofibrosarcoma protuberans in the skin of female breast in WORLD JOURNAL OF SURGICAL ONCOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/1752-1947-5-503

    DOI

    http://dx.doi.org/10.1186/1752-1947-5-503

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1010013657

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21975420


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