Primary leiomyosarcoma of the breast in a male patient : a case report
| Autor: | Nola, Nenad, Vrdoljak, Danko Velimir, Ramljak, Vesna, Knežević, Fabijan, Stanec, Mladen, Brozović, Gordana, Lesar, Miroslav, Roth, Andrej, Orešić, Tomislav |
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| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: | |
| Zdroj: | Libri Oncologici : Croatian Journal of Oncology Volume 33 Issue 1-3 |
| ISSN: | 0300-8142 2584-3826 |
| Popis: | A 43-year-old male patient was admitted to our hospital for the treatment of palpable tumor localized retromammilary in the left breast. At the admittance, the patient reported the painful bump followed by its fast growing nature. The clinical finding was preoperatively confirmed by radiologic, ultrasound and citology examinations, however, the potential biologic process (malignant/benign) was not thus verified. Considering the undefined diagnostic nature of the process, biopsy, pathohistology and immunoanalysis were performed to indicate leiomyosarcoma of the breast. The radical breast excision in toto (mastectomy) was indicated and performed and then supplemented by locoregional radiotherapy. Leiomyosarcoma of the breast is a very rare primary malignant breast tumor, especially in male patients, with only 14 cases reported in the literature. Considering the rare occurrence of leiomyosarcoma of the male breast, approaches we used in radical surgery are similar to those used in other malignant breast tumors and leiomyosarcoma of other localizations. Četrdesettrogodišnji bolesnik je primljen u našu ustanovu radi lječenja palpabilnog tumora smještenog retromamilarno u lijevoj dojci. Pri primitku bolesnik se žalio na bolnu kvržicu koja je brzo rasla. Klinički je nalaz prije operacije potvr|en radiološkom, ultrazvučnom i citološkom pretragom, ali potencijalni biološki proces (maligno/benigno) nije verificiran. S obzirom da je bilo potrebno odrediti prirodu procesa, obavljena je biopsija te pathistološka i imunološka analiza koje su pokazale da je riječ o leiomiosarkomu dojke. Indicirana je radikalna ekscizija dojke in toto (mastektomija) koja je i učinjena te potom nadopunjena lokoregionalnom radioterapijom. Leiomiosarkom dojke je vrlo rijedak primarni zloćudni tumor dojke, osobito u muškaraca, a u literaturi je opisano samo 14 slučajeva. S obzirom da se leiomiosarkom rijetko pojavljuje u muškoj dojci, u radikalnom smo operacijskom zahvatu primijenili metode koje se primjenuju kod ostalih malignih tumora dojke i leiomiosarkoma drugih lokalizacija. |
| Databáze: | OpenAIRE |
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