Sudden hemorrhage of the breast caused by breast cancer without skin invasion: Report of a case

Tokizawa, Nobuyuki; Iino, Yuichi; Yokoe, Takao; Izumi, Masaru; Kawate, Susumu; Anzai, Tetsuo; Morishita, Yasuo; Honma, Manabu

doi:10.1007/bf00311760

Cited by 7 publications

(1 citation statement)

References 2 publications

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“…The occurrence of severe spontaneous bleeding with LABC is rare and has been described in several case reports, in which it was reported to result from a rupture of tumor vessels adjacent to concomitant cysts [5], cartilaginous metaplasia and intra-tumor bleeding [6], and intra-ductal hematoma formation with diffuse dissecting hemorrhage throughout the surrounding breast tissue [7]. In addition, reports by Tokizawa and colleagues [8] and Nagasawa and colleagues [9] describe sudden hemorrhage due to breast cancer localized to the mammary glands in the absence of skin invasion.…”

Section: Discussionmentioning

confidence: 99%

Particle embolization to control life-threatening hemorrhage from a fungating locally advanced breast carcinoma: a case report

2012

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IntroductionSudden severe hemorrhage from locally advanced fungating breast carcinoma and its associated cutaneous lesions is rarely reported. Transcatheter arterial embolization has been used widely in the setting of intractable neoplastic hemorrhage arising from primary and metastatic tumors of the lung, liver, kidney, and gastrointestinal tract. Here, we detail the use of transcatheter arterial embolization in controlling torrential hemorrhage in a patient with advanced invasive breast cancer and multiple comorbidities.Case presentationWe report the case of a 28-year-old African-American woman who presented with acute torrential hemorrhage from a high-grade invasive ductal breast carcinoma. A computed tomography scan demonstrated a 14cm mass with extensive muscle, fascial, and cutaneous invasion. Owing to the extent of invasion and multiple comorbidities, she was deemed to be unsuitable for surgical management. Selective angiography of the left internal mammary artery revealed no tumoral blush, extravasation, or pseudoaneurysm. Transcatheter arterial embolization was undertaken, and complete occlusion of the vessel was demonstrated. No further episodes of hemorrhage occurred.ConclusionsThough rare, sudden severe hemorrhage from advanced breast cancer may be definitively managed by embolization alone and thus surgery may be avoided.

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Section: Discussionmentioning

confidence: 99%

Particle embolization to control life-threatening hemorrhage from a fungating locally advanced breast carcinoma: a case report

2012

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Breast Trauma and Triple-Negative Hemorrhagic Cystic Carcinoma: Management and Treatment

et al. 2020

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Sudden hemorrhage without skin invasion in a patient with Breast Cancer: A case report and literature review

et al. 2006

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We report a rare case of sudden hemorrhage caused by breast cancer. A 70-year-old Japanese woman noted fresh bleeding from her left breast. On physical examination, continuous hemorrhage accompanied by an open cavity was observed in the left breast. Mammography and ultrasonography revealed a well-circumscribed mass, with solid and cystic components, that was highly suggestive of intracystic breast carcinoma with direct skin invasion. Computed tomography and bone scintigraphy showed no distant metastasis. Aspiration biopsy of the lesion showed several clusters of adenocarcinoma cells. Modified radical mastectomy was performed with a presumptive diagnosis of stage III B left breast cancer. Invasive ductal carcinoma without skin invasion was diagnosed histologically. To the best of our knowledge, only 6 other cases of sudden hemorrhage caused by breast cancer without skin invasion have been reported in Japan. We review the literature and discuss the clinical characteristics of this unusual phenomenon.

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Sudden hemorrhage of the breast caused by breast cancer without skin invasion: Report of a case

Cited by 7 publications

References 2 publications

Particle embolization to control life-threatening hemorrhage from a fungating locally advanced breast carcinoma: a case report

Particle embolization to control life-threatening hemorrhage from a fungating locally advanced breast carcinoma: a case report

Breast Trauma and Triple-Negative Hemorrhagic Cystic Carcinoma: Management and Treatment

Sudden hemorrhage without skin invasion in a patient with Breast Cancer: A case report and literature review

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