October Case 2017
Authors: Stephen W. Goth, MD, PGY-5, Radiology Resident, Department of Radiology, Medical College of Wisconsin, Milwaukee, WI; Anubha Wadhwa, MD, Assistant Professor of Radiology, Breast, Department of Radiology, Medical College of Wisconsin, Milwaukee, WI
1. Why did you select this case for submission?
We selected this case because of its rare diagnosis and unique presentation in a lactating woman. Breast angiosarcoma is a rare malignancy, with Primary Breast Angiosarcoma being even rarer. It has a different clinical presentation than Secondary Angiosarcoma. We wanted to present this unique tumor to make our readers aware of its clinical and imaging presentation.
2. What should readers learn from this case?
We want our readers to learn that breast angiosarcomas are a total different entity than the usual invasive breast tumors, and in that primary and secondary breast angiosarcomas also vary in their clinical and imaging presentation. While Primary angiosarcoma of the breast presents in younger women with a palpable mass, the secondary form presents in older women with previous history of radiation and often as skin changes. Although the imaging features are not specific, they are somewhat different than the usual invasive breast tumor. Radiologists need to be aware of these unique malignancies, so they can recognize these and recommend appropriate management.
3. What did you learn from working on the case?
Before working on this case, we knew very little about this rare diagnosis. Writing this case and reading the literature about it helped us learn so much more about this malignancy and in general about breast angiosarcomas.
4. Why did you choose Case in Point for submission of your case?
Case in point has a relatively large reader population, not only in US but all over the world. Also I think presenting a case in question based form, helps stimulate our young reader’s minds to think about how to approach a case, what imaging modalities to choose, think about the differential diagnosis and also learn about some of these rare diagnoses.
5. Are you a regular reader of Case in Point? What are your favorite types of cases?
Yes, I am a regular reader of case in point. I like learning about uncommon diagnoses, which we don’t see in everyday practice and also reading on uncommon presentations of common things.
6. What else should we know about the case that you’d like to share?
This patient unfortunately did not survive. We hope in future years more research on sarcomas will help improve mortality from these aggressive tumors.