Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report

Breast chondrosarcoma is a rare sarcoma that mainly occurs in females >50 years old. To the best of our knowledge, only 16 cases were reported in the literature prior to 2013 and all patients were surgically treated by mastectomy, with or without lymphadenectomy, which was occasionally preceded b...

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Main Authors: PASTA, VITTORIO, SOTTILE, DANIELA, URCIUOLI, PAOLO, DEL VECCHIO, LUCA, CUSTURERI, FILIPPO, D’ORAZI, VALERIO
Format: Online
Language:English
Published: D.A. Spandidos 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4315059/
id pubmed-4315059
recordtype oai_dc
spelling pubmed-43150592015-02-06 Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report PASTA, VITTORIO SOTTILE, DANIELA URCIUOLI, PAOLO DEL VECCHIO, LUCA CUSTURERI, FILIPPO D’ORAZI, VALERIO Articles Breast chondrosarcoma is a rare sarcoma that mainly occurs in females >50 years old. To the best of our knowledge, only 16 cases were reported in the literature prior to 2013 and all patients were surgically treated by mastectomy, with or without lymphadenectomy, which was occasionally preceded by neoadjuvant chemotherapy. However, the literature does not report the benefit of mastectomy compared with a more conservative surgery. The present study reports a novel case of extraskeletal chondrosarcoma of the breast. A 63-year-old female patient presented with a neoplasm localized in the upper-outer quadrant of the right breast. The palpable lesion with sharp margins was a firm parenchymatous mass, which was confirmed by ultrasonography and mammography. The patient underwent conservative quadrantectomy instead of mastectomy, followed by post-surgical chemotherapy. A positron emission tomography scan performed five months subsequent to the surgery revealed no remnants of the disease. The patient underwent a strict clinical and instrumental follow-up, and two and half years after surgery, there are no signs of recurrent disease. In conclusion, the present case is currently one of the two cases in which a more conservative quadrantectomy was performed, instead of mastectomy. This surgical approach did not lead to metastasis and resulted in a good follow-up for the patient. D.A. Spandidos 2015-03 2014-12-17 /pmc/articles/PMC4315059/ /pubmed/25663866 http://dx.doi.org/10.3892/ol.2014.2803 Text en Copyright © 2015, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author PASTA, VITTORIO
SOTTILE, DANIELA
URCIUOLI, PAOLO
DEL VECCHIO, LUCA
CUSTURERI, FILIPPO
D’ORAZI, VALERIO
spellingShingle PASTA, VITTORIO
SOTTILE, DANIELA
URCIUOLI, PAOLO
DEL VECCHIO, LUCA
CUSTURERI, FILIPPO
D’ORAZI, VALERIO
Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
author_facet PASTA, VITTORIO
SOTTILE, DANIELA
URCIUOLI, PAOLO
DEL VECCHIO, LUCA
CUSTURERI, FILIPPO
D’ORAZI, VALERIO
author_sort PASTA, VITTORIO
title Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
title_short Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
title_full Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
title_fullStr Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
title_full_unstemmed Rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: A case report
title_sort rare chondrosarcoma of the breast treated with quadrantectomy instead of mastectomy: a case report
description Breast chondrosarcoma is a rare sarcoma that mainly occurs in females >50 years old. To the best of our knowledge, only 16 cases were reported in the literature prior to 2013 and all patients were surgically treated by mastectomy, with or without lymphadenectomy, which was occasionally preceded by neoadjuvant chemotherapy. However, the literature does not report the benefit of mastectomy compared with a more conservative surgery. The present study reports a novel case of extraskeletal chondrosarcoma of the breast. A 63-year-old female patient presented with a neoplasm localized in the upper-outer quadrant of the right breast. The palpable lesion with sharp margins was a firm parenchymatous mass, which was confirmed by ultrasonography and mammography. The patient underwent conservative quadrantectomy instead of mastectomy, followed by post-surgical chemotherapy. A positron emission tomography scan performed five months subsequent to the surgery revealed no remnants of the disease. The patient underwent a strict clinical and instrumental follow-up, and two and half years after surgery, there are no signs of recurrent disease. In conclusion, the present case is currently one of the two cases in which a more conservative quadrantectomy was performed, instead of mastectomy. This surgical approach did not lead to metastasis and resulted in a good follow-up for the patient.
publisher D.A. Spandidos
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4315059/
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