Cutaneous Angiosarcoma of the Breast on MRI

Sanders, Linda M.; Groves, Arthur C.; Schaefer, Sara L.

doi:10.2214/ajr.05.1940

Cited by 29 publications

(22 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings were similar to those described earlier by Liberman et al (14) and by Marchant et al (4). Sanders et al (17) presented two cases of secondary cutaneous angiosarcoma, of which one showed a rapid initial enhancement followed by a steady state, and the other showed rapid wash-in followed by a rapid decrease in enhancement. Hence, they suggested that detection of a small focus of enhancement in irradiated thickened skin on dynamic breast MR images is more helpful than enhancement kinetics are.…”

Section: Discussionsupporting

confidence: 89%

Angiosarcoma of the Breast

Lim¹,

Goei²

2007

RadioGraphics

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 89%

Angiosarcoma of the Breast

Lim¹,

Goei²

2007

RadioGraphics

View full text Add to dashboard Cite

“…Unlike primary angiosarcomas, which may manifest within the breast parenchyma, radiation-induced angiosarcomas most commonly manifest as cutaneous tumors and may be quite difficult to detect clinically, resulting in a diagnostic delay of many months, since they arise in the background of radiation-induced benign skin changes and most often manifest as painless, discolored cutaneous macules or nodules. Stewart-Treves syndrome is a rare, slowly developing form of cutaneous angiosarcoma that is associated with chronic lymphedema following radiation treatment (50)(51)(52). At MR imaging, cutaneous angiosarcomas manifest as enhancing cutaneous masses as small as 1 mm in irradiated breasts (50), with varying kinetic patterns (Fig 28).…”

Section: Uncommon Malignant Diseases Cutaneous Angiosarcomamentioning

confidence: 99%

“…Stewart-Treves syndrome is a rare, slowly developing form of cutaneous angiosarcoma that is associated with chronic lymphedema following radiation treatment (50)(51)(52). At MR imaging, cutaneous angiosarcomas manifest as enhancing cutaneous masses as small as 1 mm in irradiated breasts (50), with varying kinetic patterns (Fig 28). In one case report, Stewart-Treves syndrome manifested as a lobulated cutaneous mass with low signal intensity on T2-weighted images, slightly higher signal intensity on T1-weighted images, and diffuse enhancement (52).…”

Section: Uncommon Malignant Diseases Cutaneous Angiosarcomamentioning

confidence: 99%

Lesions of the Skin and Superficial Tissue at Breast MR Imaging

Kalli

Freer²,

Rafferty³

2010

RadioGraphics

View full text Add to dashboard Cite

Although numerous studies have outlined the benefits of contrast material-enhanced magnetic resonance (MR) imaging for the detection of breast parenchymal findings, the assessment of lesions of the skin and superficial tissue at breast MR imaging has largely been overlooked. Such lesions, both benign and malignant, are commonly encountered at breast MR imaging, and their detection and diagnosis are often imperative. These lesions include superficial, locally extensive, inflammatory, and recurrent breast cancers; iatrogenic changes; sebaceous cysts; and less prevalent diseases such as granulomatous mastitis and angiosarcomas, among others. As MR imaging continues to be used with increasing frequency in both the screening and diagnostic settings, these lesions will be encountered more often; consequently, a better understanding of which lesions may be ignored and which require further evaluation will become increasingly important. Frequently, MR imaging alone may not clearly indicate the cause of lesions of the breast skin and superficial tissue. However, radiologists should thoroughly assess such lesions, taking into consideration the spectrum of possible causes. Mammography, ultrasonography, consultation with clinicians or dermatologists regarding physical examination findings, and, when necessary, correlation with pathologic findings in biopsy specimens may be used in conjunction with MR imaging to establish both the importance of these lesions and their definitive diagnoses.

show abstract

“…Cet examen a un rôle crucial pour le bilan d'extension locale (notamment l'infiltration des plans musculaires profonds) et la planification du geste chirurgical. On notera également que des cas d'angiosarcomes secondaires cutanés ont été décrits à l'IRM [8,9], caractérisés par des foci au sein de la peau épaissie suite à l'irradiation.…”

Section: Discussionunclassified