Sarcoma of breast.

Abstract

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Primary breast sarcoma: clinicopathologic series from the Mayo Clinic and review of the literature

“…Reported series in the English literature had included all three entities as breast sarcomas, and include in their reports angiosarcomas, desmoid tumours, and lymphosarcomas (Botham et al, 1958;Berg et al, 1962;Oberman, 1965;Donegan, 1967;Fawcett, 1967;Kennedy and Biggart, 1967;Norris and Taylor, 1968;Rissanen and Holsti, 1968;Gogas et al, 1976;Barnes and Pietruszka, 1977;Ludgate et al, 1977;Khanna et al, 1981;Callery et al, 1985;Christensen et al, 1988;Stanley et al, 1988;Terrier et al, 1989;Pollard et al, 1990;Pitts et al, 1991;Ciatto et al, 1992;Luna Vega et al, 1992;Johnstone et al, 1993;Smola et al, 1993;Gutman et al, 1994;McGregor et al, 1994;Moore and Kinne, 1996;North et al, 1998;Barrow et al, 1999;McGowan et al, 2000). Therefore, reliable assessments of prognostic factors are difficult to make based on the published literature.…”

“…Berg et al defined stromal sarcomas of the breast in 1962 as a group of mesenchymal malignant tumours with fibrous, myxoid and adipose components, excluding malignant cystosarcoma phyllodes, lymphomas and angiosarcomas (Berg et al, 1962). However, series in the literature have included many different entities under the rubric of sarcomas such as cystosarcoma phyllodes, lymphosarcoma and carcinosarcoma (Botham et al, 1958;Donegan, 1967;Fawcett, 1967;Kennedy and Biggart, 1967;Rissanen and Holsti, 1968;Gogas et al, 1976;Ludgate et al, 1977;Khanna et al, 1981;Christensen et al, 1988;Terrier et al, 1989;Pitts et al, 1991;Ciatto et al, 1992;Luna Vega et al, 1992;McGregor et al, 1994;Moore and Kinne, 1996;McGowan et al, 2000). For this review, we choose to categorise primary breast sarcomas in histogenic terms, similar to other soft-tissue sarcomas, thus including angiosarcomas, and excluding malignant cystosarcomas phyllodes, as reported by others (see Table 1) (Berg et al, 1962;Oberman, 1965;Norris and Taylor, 1968;Barnes and Pietruszka, 1977;Callery et al, 1985;Stanley et al, 1988;Pollard et al, 1990;Johnstone et al, 1993;Smola et al, 1993;Gutman et al, 1994;North et al, 1998;Barrow et al, 1999).…”

A composite malignant tumour of the elderly female breast

“…However, in a number of instances it may not be possible to demonstrate such an origin owing to the destructive and invasive nature of the neoplasm (Fawcett, 1967).…”

Carcinosarcoma of the breast

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PLATES LV-LIX SARCOMA of the breast is a rare tumour, accounting for less than 1 per cent. of all breast tumours (Jernstrom, Lindberg and Meland, 1963;Fawcett, 1967;Kennedy and Biggart, 1967) and carcinosarcoma is even less common, only one case occurring in the series of 39 breast sarcomas reported by Curran and Dodge (1 962).In view of their rarity and the difficulties in their diagnosis we report two further examples of carcinosarcoma of the breast.

CASE REPORTSCase I An 81-yr-old Negro woman presented with a mass in the left breast which she had noticed 1 mth previously. The mass had been enlarging and was painful.

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