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首页> 美国卫生研究院文献>Current Oncology >Primary epithelioid angiosarcoma of the breast masquerading as carcinoma
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Primary epithelioid angiosarcoma of the breast masquerading as carcinoma

机译：乳腺癌假扮为癌的原发性上皮样血管肉瘤

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摘要

Here we report a case of primary epithelioid angiosarcoma (eas) of the breast occurring in a 30-year-old woman. Following fine-needle asspiration cytology (fnac) and tru-cut biopsy, the patient was initially diagnosed with mammary carcinoma and thereafter underwent modified radical mastectomy. Postoperative histopathologic examination and immunohistochemistry revealed a diagnosis of primary epithelioid angiosarcoma of the breast. The patient received postoperative radiotherapy to the chest wall and was started on adjuvant thalidomide. Preoperatively, eas can be mistaken for carcinoma because it is difficult to appreciate the typical morphology on fnac or tru-cut biopsy. Indeed, this is an area of potential diagnostic error because, nowadays, neoadjuvant therapy is often instituted after core biopsy of a breast mass. This case is being reported not only for its diagnostic difficulty, but also because of its rarity in English literature.
机译：在这里，我们报道了一名30岁女性的乳房原发性上皮样血管肉瘤（EAS）病例。在进行细针穿刺细胞学检查（fnac）和切开活检后，该患者最初被诊断出患有乳腺癌，之后接受了改良的根治性乳房切除术。术后组织病理学检查和免疫组化显示诊断为乳腺原发性上皮样血管肉瘤。该患者术后接受了胸壁放射治疗，并开始接受辅助沙利度胺治疗。术前，容易将eas误认为是癌，因为很难了解fnac或tru-cut活检的典型形态。确实，这是一个潜在的诊断错误领域，因为如今，新辅助治疗通常在对乳腺肿块进行活检后开始进行。该病例不仅因为其诊断困难而被报道，而且由于其在英国文献中的稀有性而被报道。

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