A Case of Stromal Sarcoma of the Breast, Which Result in Lung Metastasis and Brain Metastasis after Surgery

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  • SATOU Youko
    Department of Gastroenterological, Breast and Endocrine Surgery（SurgeryⅡ），Yamaguchi University Graduate School of Medicine
  • FUKAMITU Gaku
    Division of Surgery, Yamaguchi-ken Saiseikai Shimonoseki General Hospital
  • YAMAMOTO Shigeru
    Department of Gastroenterological, Breast and Endocrine Surgery（SurgeryⅡ），Yamaguchi University Graduate School of Medicine
  • NAGANO Hiroaki
    Department of Gastroenterological, Breast and Endocrine Surgery（SurgeryⅡ），Yamaguchi University Graduate School of Medicine
  • HAMANO Kimikazu
    Department of Surgery and Clinical Science（SurgeryⅠ），Yamaguchi University Graduate School of Medicine

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Other Title
  • 術後肺転移，脳転移を来した乳腺間質肉腫の１例
  • ジュツゴ ハイ テンイ ノウ テンイ オ キタシタ ニュウセン カンシツ ニクシュ ノ 1レイ
  • 症例報告 術後肺転移,脳転移を来した乳腺間質肉腫の1例
  • ショウレイ ホウコク ジュツゴ ハイ テンイ,ノウ テンイ オ キタシタ ニュウセン カンシツ ニクシュ ノ 1レイ

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Abstract

<p>A 68-year-old woman was referred to our hospital with a hard 12 × 12cm mass of the right breast. The upper skin at the surface of the mass was necrotized and an ulcer had formed. Stromal sarcoma of the breast was diagnosed from a core needle biopsy. Right mastectomy proceeded and analysis of a sentinel lymph node biopsy found no metastasis. The final histopathological diagnosis of the tumor was also stromal sarcoma. Three months after the primary surgery, a distant metastasis identified in the right middle lobe of the lung gradually increased, but new lesions were not found. The lung metastasis was treated by partial pneumonectomy. Thereafter, multiple brain metastases were discovered and treated with whole brain radiation therapy. The patient died 12 months after the primary surgery due to herniation secondary to brain metastasis.</p>

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