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J Thorac Cardiovasc Surg 2007;134:1076-1077
© 2007 The American Association for Thoracic Surgery

Brief Communication

A case of chest wall angiosarcoma associated with breast implants

Neil D. Saunders, BS*, J. Stephen Marshall, MD, Richard C. Anderson, MD

Department of Surgery, University of Illinois College of Medicine, Peoria, Peoria, Ill.

Received for publication March 8, 2007; accepted for publication April 23, 2007.

* Address for reprints: Neil D. Saunders, 3602 N Kingston Dr, Apt 37, Peoria, IL 61604. (Email: neilsaunders@gmail.com).

The first 20% of the full text of this article appears below.

Primary angiosarcomas of the breast or chest wall are exceedingly rare. Generally, primary sarcomas of the breast are less than 0.1% of breast malignancies, with angiosarcomas making up between 25% and 40% of these cases.1Go Angiosarcomas tend to be aggressive, with a high rate of local recurrence and low 5- and 10-year survival rates. Standard treatment for breast or chest wall angiosarcoma is surgical excision, and there is no clear evidence regarding the role of adjuvant chemotherapy or radiation.2Go Both irradiation and postmastectomy angioedema are known to substantially increase the risk for angiosarcoma in the breast or chest wall. However, the case we present is primary angiosarcoma in a radiation-naive, augmented breast.

Clinical Summary

A 58-year-old woman presented with a 4-month history of nonproductive cough and tenderness on the left side of her chest. The patient received bilateral submuscular silicone breast implants in 1975 and had noted that recently the superior aspect of her left breast had become larger than the right. . . . [Full Text of this Article]






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Copyright © 2007 by The American Association for Thoracic Surgery.