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Yvette Farran, Osvaldo Padilla, Karinn Chambers, Alexander Philipovskiy, Zeina Nahleh
(Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX, USA)
Am J Case Rep 2017; 18:1347-1350
Radiation-associated breast angiosarcoma is a rare clinical entity that is thought to be increasing in incidence.
CASE REPORT: Here we present the case of a 67-year-old female with a history of left breast invasive ductal carcinoma who received breast conserving surgery and radiation therapy eight years ago. She then presented with a painless mild skin discoloration of the left breast that had been present for over one year. Mammograms and ultrasounds were normal. A punch biopsy and a subsequent excisional biopsy revealed the diagnosis of angiosarcoma. The patient was treated with mastectomy and had no subsequent recurrences.
CONCLUSIONS: The long-term clinical surveillance for all patients who receive breast conservation surgery is recommended and a high degree of suspicion should be exercised in view of potential atypical presentations of this disease.