Abstract：
BACKGROUND:With the general acceptance of lumpectomy, axillary staging, and radiotherapy as local treatment for infiltrating breast cancer, an appreciation is evolving for the spectrum of vascular lesions that occur in the mammary skin after this treatment. Most of these lesions develop within the prior radiation field after breast conservation treatment. STUDY DESIGN:A retrospective chart and slide review was conducted, consisting of five patients with cutaneous vascular lesions after breast conservation treatment for infiltrating breast cancer. RESULTS:The latent time interval from definitive treatment of breast cancer to the clinical recognition of vascular lesions ranged from 5 to 11 years. Two patients did not have either arm or breast edema, two patients had breast edema, and the fifth patient had arm edema. Lesions arising in the irradiated mammary skin included extensive lymphangiectasia (one), atypical vascular lesions (two), and cutaneous angiosarcoma (four). CONCLUSIONS:Atypical vascular lesions at the skin margins of mastectomy may be predictive of recurrence after resection of angiosarcoma. Excision of skin from the entire radiation field may be necessary to secure local control of the chest wall in patients with cutaneous angiosarcoma after therapeutic breast radiotherapy.
journal_name
J Am Coll Surgjournal_title
Journal of the American College of Surgeonsauthors
Sener SF,Milos S,Feldman JL,Martz CH,Winchester DJ,Dieterich M,Locker GY,Khandekar JD,Brockstein B,Haid M,Michel Adoi
10.1016/s1072-7515(01)00863-8keywords:
subject
Has Abstractpub_date
2001-07-01 00:00:00pages
22-8issue
1eissn
1072-7515issn
1879-1190pii
S1072-7515(01)00863-8journal_volume
193pub_type
杂志文章abstract：BACKGROUND:Thyroid surgery is associated with low mortality and morbidity and often is performed in an ambulatory setting. The majority of patients undergoing thyroidectomy have an uncomplicated outcome, but common comorbidities may increase mortality and morbidity. Due to low complication rates, studies using single s...
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