A case report of primary breast angiosarcoma: An uncommon malignancy

Angiosarcoma of the breast is a rare and aggressive form of cancer that originates from vascular or lymphatic tissues, representing only 0.04% of malignant breast lesions. Variance in the clinical, pathological, and radiological presentations often leads to challenges in diagnosis. We present a case...

Full description

Saved in:
Bibliographic Details
Main Authors: Ayesha Afzal, MBBS, FCPS, Muhammad Junaid Tahir, MBBS, Asma Asghar, MBBS FCPS, Hira Yaqub, MBBS, Anis Ur Rehman, MBBS, FRCR, Aamer Iftikhar, MBBS, FRCR
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325004789
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839630873162416128
author Ayesha Afzal, MBBS, FCPS
Muhammad Junaid Tahir, MBBS
Asma Asghar, MBBS FCPS
Hira Yaqub, MBBS
Anis Ur Rehman, MBBS, FRCR
Aamer Iftikhar, MBBS, FRCR
author_facet Ayesha Afzal, MBBS, FCPS
Muhammad Junaid Tahir, MBBS
Asma Asghar, MBBS FCPS
Hira Yaqub, MBBS
Anis Ur Rehman, MBBS, FRCR
Aamer Iftikhar, MBBS, FRCR
author_sort Ayesha Afzal, MBBS, FCPS
collection DOAJ
description Angiosarcoma of the breast is a rare and aggressive form of cancer that originates from vascular or lymphatic tissues, representing only 0.04% of malignant breast lesions. Variance in the clinical, pathological, and radiological presentations often leads to challenges in diagnosis. We present a case of a 32-year-old lactating female having a painless swelling in her right breast for 6 months, with a significant increase in size in 1 month. Clinical assessment indicated the presence of a mass at the superior edge of the areola, with associated bluish skin discoloration. Ultrasonography revealed a vascular lesion characterized by mixed echogenicity. A core biopsy confirmed the diagnosis of angiosarcoma. Imaging studies, including computed tomography (CT) and bone scans, ruled out distant metastases. Subsequently, surgical excision was performed, and histopathological analysis reaffirmed the diagnosis of angiosarcoma. Radiotherapy was deemed unsuitable due to the potential risk of recurrence or radiation-induced secondary angiosarcoma. This case highlights the necessity of a multidisciplinary approach in optimizing diagnosis and treatment, with surgical excision playing a pivotal role in disease management.
format Article
id doaj-art-680e38adb5014e5087c1e14821b461a5
institution Matheson Library
issn 1930-0433
language English
publishDate 2025-09-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-680e38adb5014e5087c1e14821b461a52025-07-13T04:53:52ZengElsevierRadiology Case Reports1930-04332025-09-0120943254330A case report of primary breast angiosarcoma: An uncommon malignancyAyesha Afzal, MBBS, FCPS0Muhammad Junaid Tahir, MBBS1Asma Asghar, MBBS FCPS2Hira Yaqub, MBBS3Anis Ur Rehman, MBBS, FRCR4Aamer Iftikhar, MBBS, FRCR5Department of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanDepartment of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, Pakistan; Corresponding author.Department of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanDepartment of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanDepartment of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanDepartment of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanAngiosarcoma of the breast is a rare and aggressive form of cancer that originates from vascular or lymphatic tissues, representing only 0.04% of malignant breast lesions. Variance in the clinical, pathological, and radiological presentations often leads to challenges in diagnosis. We present a case of a 32-year-old lactating female having a painless swelling in her right breast for 6 months, with a significant increase in size in 1 month. Clinical assessment indicated the presence of a mass at the superior edge of the areola, with associated bluish skin discoloration. Ultrasonography revealed a vascular lesion characterized by mixed echogenicity. A core biopsy confirmed the diagnosis of angiosarcoma. Imaging studies, including computed tomography (CT) and bone scans, ruled out distant metastases. Subsequently, surgical excision was performed, and histopathological analysis reaffirmed the diagnosis of angiosarcoma. Radiotherapy was deemed unsuitable due to the potential risk of recurrence or radiation-induced secondary angiosarcoma. This case highlights the necessity of a multidisciplinary approach in optimizing diagnosis and treatment, with surgical excision playing a pivotal role in disease management.http://www.sciencedirect.com/science/article/pii/S1930043325004789Primary angiosarcomaUltrasoundVascularTumor markersAtypical endothelial cells
spellingShingle Ayesha Afzal, MBBS, FCPS
Muhammad Junaid Tahir, MBBS
Asma Asghar, MBBS FCPS
Hira Yaqub, MBBS
Anis Ur Rehman, MBBS, FRCR
Aamer Iftikhar, MBBS, FRCR
A case report of primary breast angiosarcoma: An uncommon malignancy
Radiology Case Reports
Primary angiosarcoma
Ultrasound
Vascular
Tumor markers
Atypical endothelial cells
title A case report of primary breast angiosarcoma: An uncommon malignancy
title_full A case report of primary breast angiosarcoma: An uncommon malignancy
title_fullStr A case report of primary breast angiosarcoma: An uncommon malignancy
title_full_unstemmed A case report of primary breast angiosarcoma: An uncommon malignancy
title_short A case report of primary breast angiosarcoma: An uncommon malignancy
title_sort case report of primary breast angiosarcoma an uncommon malignancy
topic Primary angiosarcoma
Ultrasound
Vascular
Tumor markers
Atypical endothelial cells
url http://www.sciencedirect.com/science/article/pii/S1930043325004789
work_keys_str_mv AT ayeshaafzalmbbsfcps acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT muhammadjunaidtahirmbbs acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT asmaasgharmbbsfcps acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT hirayaqubmbbs acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT anisurrehmanmbbsfrcr acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT aameriftikharmbbsfrcr acasereportofprimarybreastangiosarcomaanuncommonmalignancy
AT ayeshaafzalmbbsfcps casereportofprimarybreastangiosarcomaanuncommonmalignancy
AT muhammadjunaidtahirmbbs casereportofprimarybreastangiosarcomaanuncommonmalignancy
AT asmaasgharmbbsfcps casereportofprimarybreastangiosarcomaanuncommonmalignancy
AT hirayaqubmbbs casereportofprimarybreastangiosarcomaanuncommonmalignancy
AT anisurrehmanmbbsfrcr casereportofprimarybreastangiosarcomaanuncommonmalignancy
AT aameriftikharmbbsfrcr casereportofprimarybreastangiosarcomaanuncommonmalignancy