Key result
An 87-year-old woman with primary breast angiosarcoma treated with simple mastectomy developed fatal metastatic disease after one year.
Why the study?
Primary breast angiosarcomas typically occur in younger to middle-aged women, making diagnosis in an octogenarian a rare incidence with limited treatment options.
Case Report (n=1)
Primary breast angiosarcoma is a rare disease in octogenarians associated with early relapse and poor prognosis.
Emphasizes diagnostic awareness for this rare tumor in octogenarians; extends sparse case data but leaves optimal management open.
INTRODUCTION AND IMPORTANCE: Primary breast angiosarcomas are endothelial derived breast sarcomas found in younger to middle age groups. The diagnosis of primary breast angiosarcoma in an octogenarian woman is a rare incidence. CASE PRESENTATION: We report a case of 87-year-old postmenopausal woman presenting with history of lump in her right breast for four months. Ultrasound guided biopsy was performed which confirmed the diagnosis of angiosarcoma hence, subjected to simple mastectomy. She was doing quite well for one year when ultimately, she developed metastatic disease and couldn't survive more. CLINICAL DISCUSSION: Microscopically, these tumours are classified into grades I, II and III. Hematogenous route has been taken for metastasis having lungs being most involved. There are limited case reports and studies that have investigated the use of adjuvant radio/chemotherapy. CONCLUSION: Primary angiosarcoma of breast is a rare disease in old age group with limited treatment options which resulted in poor prognosis and early relapse.
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Vohra et al. (2023) conducted a case report in Primary breast angiosarcoma (n=1). Simple mastectomy was evaluated on Metastasis and survival. An 87-year-old woman with primary breast angiosarcoma treated with simple mastectomy developed fatal metastatic disease after one year.
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