Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data

Primary breast angiosarcoma (PBA) is a rare malignant tumor. PBA usually undergoes hematogenous metastasis; lymph node metastasis is very rare in such patients, and metastasis of PBA to the supraclavicular lymph nodes has not previously been reported. Here, we describe a rare case of PBA manifested...

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Main Authors: Xiaojuan Qin, Yu Wu, Lan Yu, Qing Lv, Mingxing Xie
Format: Article
Language:English
Published: SAGE Publishing 2021-03-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605211002337
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author Xiaojuan Qin
Yu Wu
Lan Yu
Qing Lv
Mingxing Xie
author_facet Xiaojuan Qin
Yu Wu
Lan Yu
Qing Lv
Mingxing Xie
author_sort Xiaojuan Qin
collection DOAJ
description Primary breast angiosarcoma (PBA) is a rare malignant tumor. PBA usually undergoes hematogenous metastasis; lymph node metastasis is very rare in such patients, and metastasis of PBA to the supraclavicular lymph nodes has not previously been reported. Here, we describe a rare case of PBA manifested by a diffuse enlargement of the left breast, with metastasis to the left axillary and bilateral supraclavicular lymph nodes. Contrast-enhanced ultrasound and positron emission tomography findings indicated a malignant lesion, whereas magnetic resonance imaging suggested a benign lesion. Core needle biopsy identified the lesion as a lymphangioma, and the histological characteristics suggested a high-grade angiosarcoma. Multimodal imaging and perfusion patterns obtained using various contrast agents can thus help to diagnose PBA.
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spelling doaj.art-d399974e93aa4dc8af95a56c8568adf62022-12-21T19:09:13ZengSAGE PublishingJournal of International Medical Research1473-23002021-03-014910.1177/03000605211002337Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging dataXiaojuan QinYu WuLan YuQing LvMingxing XiePrimary breast angiosarcoma (PBA) is a rare malignant tumor. PBA usually undergoes hematogenous metastasis; lymph node metastasis is very rare in such patients, and metastasis of PBA to the supraclavicular lymph nodes has not previously been reported. Here, we describe a rare case of PBA manifested by a diffuse enlargement of the left breast, with metastasis to the left axillary and bilateral supraclavicular lymph nodes. Contrast-enhanced ultrasound and positron emission tomography findings indicated a malignant lesion, whereas magnetic resonance imaging suggested a benign lesion. Core needle biopsy identified the lesion as a lymphangioma, and the histological characteristics suggested a high-grade angiosarcoma. Multimodal imaging and perfusion patterns obtained using various contrast agents can thus help to diagnose PBA.https://doi.org/10.1177/03000605211002337
spellingShingle Xiaojuan Qin
Yu Wu
Lan Yu
Qing Lv
Mingxing Xie
Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
Journal of International Medical Research
title Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
title_full Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
title_fullStr Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
title_full_unstemmed Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
title_short Metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes: a rare case diagnosed using imaging data
title_sort metastasis of primary breast angiosarcoma to axillary and supraclavicular lymph nodes a rare case diagnosed using imaging data
url https://doi.org/10.1177/03000605211002337
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