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A Journal on Surgery

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Chirurgia 2006 December;19(6):465-70

language: Italian

Fibrosarcoma of the breast: case report

Noccioli P., Dell’Osa A., Grossi S., Tavoletta S., Angelucci D., Cianchetti E.

Dipartimento di Scienze Chirurgiche Sperimentali e Cliniche Università “G- D’Annunzio”, Chieti


Primary breast sarcomas, malignant tumours arising from the mesenchymal tissue of the mammary gland, are rare, representing less than 1% of all malignant breast tumours. Total mastectomy is recommended for most patient with postoperative radiation therapy indicated when the adequacy of the margin is in doub. The role of adjuvant chemotherapy in the primary management of mammary sarcoma is yet to be determined. The authors report the case of a 37 yeas female patient with an mass in her right breast. On examination the mass measured 12 cm × 15 cm in central and lower part of right breast involving the nipple and areola. Ultrasonography and mammography of the breast showed malignant features. Biopsy incision from the margin of the tumour showed histology of infiammatory pseudotumour. Subsequently, total mastectomy simplex was performed and the histological examination revealed it was a case of fibrosarcoma of breast. Chemotherapy was started with Adriamicina and Ifosfamide, but was interrupted for occur of leukaemia that leaded to die.

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