Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup

Angiosarcomas of the breast are rare and aggressive malignant tumours. They are further divided into primary and secondary angiosarcomas. Primary angiosarcomas occur sporadically in young women; whereas secondary angiosarcomas are seen post radiation therapy. We hereby report a case of a biopsy pr...

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Main Authors: Bhagyam V Nagarajan, Gayatri M Autkar, Shilpa V Lad
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2020-01-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:http://www.ijars.net/articles/PDF/2527/42889_CE[Ra1]_F(SHU)_PF1(AG_SHU)_PFA(SHU)_PN(SHU).pdf
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author Bhagyam V Nagarajan
Gayatri M Autkar
Shilpa V Lad
author_facet Bhagyam V Nagarajan
Gayatri M Autkar
Shilpa V Lad
author_sort Bhagyam V Nagarajan
collection DOAJ
description Angiosarcomas of the breast are rare and aggressive malignant tumours. They are further divided into primary and secondary angiosarcomas. Primary angiosarcomas occur sporadically in young women; whereas secondary angiosarcomas are seen post radiation therapy. We hereby report a case of a biopsy proven primary angiosarcoma of the breast in a young female patient; highlighting the role of imaging in its diagnosis. On mammographic evaluation the angiosarcoma appeared as a large, ill-defined, high density, lobulated breast mass, raising suspicion of a malignant Breast Imaging-Reporting and Data System (BI-RADS) 4 lesion. Breast Ultrasound (US) and colour Doppler findings of this mass demonstrated features of a malignant vascular tumour. This was further confirmed by the contrast enhanced breast MRI findings of an intensely enhancing mass with type II contrast kinetics. Thus, adequate knowledge of the imaging features of primary angiosarcoma of the breast, on various imaging modalities is imperative for making an accurate and timely diagnosis of this rare malignancy with a poor prognosis.
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spelling doaj.art-ae4c1becac0843658a13c205cb9d379c2022-12-22T01:25:36ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742020-01-0191RC09RC1110.7860/IJARS/2020/42889:2527Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging WorkupBhagyam V Nagarajan0Gayatri M Autkar1Shilpa V Lad2Consultant Radiologist and Coordinator Radiology, Department of Ultrasound and Breast Imaging, Wockhardt Hospital, 1877, Dr Anand Rao Nair Marg, Mumbai Central, Mumbai, Maharashtra, India.Radiologist, Department of Radiology, Wockhardt Hospital, 1877, Dr Anand Rao Nair Marg, Mumbai Central, Mumbai, Maharashtra, India.Consultant Radiologist, Department of Breast Imaging, NM Medical Center, Mumbai, Maharashtra, India.Angiosarcomas of the breast are rare and aggressive malignant tumours. They are further divided into primary and secondary angiosarcomas. Primary angiosarcomas occur sporadically in young women; whereas secondary angiosarcomas are seen post radiation therapy. We hereby report a case of a biopsy proven primary angiosarcoma of the breast in a young female patient; highlighting the role of imaging in its diagnosis. On mammographic evaluation the angiosarcoma appeared as a large, ill-defined, high density, lobulated breast mass, raising suspicion of a malignant Breast Imaging-Reporting and Data System (BI-RADS) 4 lesion. Breast Ultrasound (US) and colour Doppler findings of this mass demonstrated features of a malignant vascular tumour. This was further confirmed by the contrast enhanced breast MRI findings of an intensely enhancing mass with type II contrast kinetics. Thus, adequate knowledge of the imaging features of primary angiosarcoma of the breast, on various imaging modalities is imperative for making an accurate and timely diagnosis of this rare malignancy with a poor prognosis.http://www.ijars.net/articles/PDF/2527/42889_CE[Ra1]_F(SHU)_PF1(AG_SHU)_PFA(SHU)_PN(SHU).pdfbreast neoplasmsdiagnostic imagingmammography
spellingShingle Bhagyam V Nagarajan
Gayatri M Autkar
Shilpa V Lad
Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
International Journal of Anatomy Radiology and Surgery
breast neoplasms
diagnostic imaging
mammography
title Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
title_full Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
title_fullStr Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
title_full_unstemmed Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
title_short Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
title_sort primary angiosarcoma of the breast a case report with multimodality imaging workup
topic breast neoplasms
diagnostic imaging
mammography
url http://www.ijars.net/articles/PDF/2527/42889_CE[Ra1]_F(SHU)_PF1(AG_SHU)_PFA(SHU)_PN(SHU).pdf
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AT shilpavlad primaryangiosarcomaofthebreastacasereportwithmultimodalityimagingworkup