Primary leiomyosarcoma of the breast treated by partial resection of the breast including nipple and areola: report of a case.
A 46-year-old female patient presented with a tumor measuring 0.5 cm in diameter under the areola of the breast. Because no definite malignancy was found with inspection and palpation, imaging analysis, or with a fine-needle aspiration cytology examination, follow-up observation was recommended. When the patient visited the hospital 6 months later, the mass was 0.9 cm in diameter. The tumor was excised and histopathologically diagnosed as a leiomyosarcoma. Subsequently, the patient underwent a partial resection of the breast, including the nipple and areola. A follow-up examination revealed no evidence of distant metastasis or local recurrences 8 years 4 months after the surgery. Primary leiomyosarcoma of the breast is extremely rare. Only 33 cases, which are reviewed in the present study, have been previously reported in the literature.
Departments of Surgery II, Tokyo Women's Medical University, School of Medicine, 8-1 Kawadacho, Shinjuku, Tokyo, 162-8666, Japan.
Takako
T
Kamio
Masako
M
Nishizawa
Kei
K
Aoyama
Tetsuya
T
Ohchi
Toshio
T
Nishikawa
Makio
M
Kobayashi
Shingo
S
Kameoka
D044963:Biopsy, Fine-Needle; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000473:pathology / Q000601:surgery*; D011379:Prognosis