Angiosarcoma of the breast. Radiological aspects. About one case

Angiosarcoma of the breast in an uncommon entity, The authors report a well -documented case of angiosarcoma. The patient. a 23-years-old woman, had a Voluminous mass of the left breast without inflammation. The evolution was rapidly fatal. Physical examination revealed a large painful breast mass wi th purplish discoloration cutaneous area in front of the lesion. The palpat ion revealed a thrill. The mammography had shown an area of increased densi ty in the left breast. A complementary ultrasound examination detected a we ll-circumscribed Voluminous mass with hypoechogenic heterogenous echostruct ure. The Doppler examination detected a venous blood flow in the tumor. Thi s finding was compatible with vascular tumor as angioma or angiosarcoma. Th e angioscanner showed a peripheral vascular enhancement and a centripetal d iffusion of the contrast product. This vascular kinetic is seen commontly i n the angioma, Magnetic resonance imaging in the T1 and T2 relaxation times detected an intermediate signal mass with bleeding areas. The patient had had a mastectomy and the histopathologic examination confirmed the diagnost ic of angiosarcoma. The radiological aspacts of angiosarcoma of the breast are discussed depending on the literature data.