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Year :2020
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Month :
January-February
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Volume :
9
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Issue :
1
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Page :
RC09 - RC11
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Primary Angiosarcoma of the Breast: A Case Report with Multimodality Imaging Workup
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Correspondence Address :
Bhagyam V Nagarajan, Gayatri M Autkar, Shilpa V Lad,
Dr. Bhagyam V Nagarajan,
Wockhardt Hospital, Department of Ultrasound, 1877, Dr Anand Rao Nair Marg, Mumbai Central, Mumbai-400011, Maharashtra, India.
E-mail: bhagyam.nagarajan@wockhardthospitals.com
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Introduction: Angiosarcomas of the breast are rare and aggressive malignant tumours. They are further divided into primary and secondary angiosarcomas. Primary angiosarcomas occur sporadically in young women; whereas secondary angiosarcomas are seen post radiation therapy. We hereby report a case of a biopsy proven primary angiosarcoma of the breast in a young female patient; highlighting the role of imaging in its diagnosis. On mammographic evaluation the angiosarcoma appeared as a large, ill-defined, high density, lobulated breast mass, raising suspicion of a malignant Breast Imaging-Reporting and Data System (BI-RADS) 4 lesion. Breast Ultrasound (US) and colour Doppler findings of this mass demonstrated features of a malignant vascular tumour. This was further confirmed by the contrast enhanced breast MRI findings of an intensely enhancing mass with type II contrast kinetics. Thus, adequate knowledge of the imaging features of primary angiosarcoma of the breast, on various imaging modalities is imperative for making an accurate and timely diagnosis of this rare malignancy with a poor prognosis.
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