The primary mode of treatment for desmoid tumors is surgical excision.However,high recurrence rates(39-79%)have been reported when surgery is used alone.The role of adjuvant radiotherapy after surgical resection of pr...The primary mode of treatment for desmoid tumors is surgical excision.However,high recurrence rates(39-79%)have been reported when surgery is used alone.The role of adjuvant radiotherapy after surgical resection of primary disease is controversial and should be based on a balanced discussion of potential morbidity from radiotherapy and local recurrence.In this patient,the maximum dimension of tumor was 21 cm.This is a larger chest wall fibromatosis than has been reported thus far,to the best of our knowledge.In this case,post-operative margins were free,but in view of the large initial tumor size and potential morbidity in case of any future locoregional recurrence,post-operative adjuvant external beam radiation was delivered.An image guided intensity modulated radiotherapy technique was chosen to spare adjacent breast and lung parenchyma,and tolerance of these structures was well respected.This case provides insight into this treatment approach.展开更多
Primary carcinoma of breast is common but breast is a rare site of metastasis and metastases from extramammary sites are even rarer.Metastasis to breast from rectal carcinoma is very unusual and till now 19 cases of b...Primary carcinoma of breast is common but breast is a rare site of metastasis and metastases from extramammary sites are even rarer.Metastasis to breast from rectal carcinoma is very unusual and till now 19 cases of breast secondaries from colorectal carcinoma have been reported in literature which include 14 cases where the primary site was colon and remaining 5 were from the rectum.Here the authors report a case of adenocarcinoma anorectum who had completed treatment and after 4 months developed a lump in her left breast which was metastatic.Metastatic lesions of breast are usually part of a widely disseminated disease but this case presented as a solitary breast metastasis which mimicked as second primary cancer of the breast.展开更多
文摘The primary mode of treatment for desmoid tumors is surgical excision.However,high recurrence rates(39-79%)have been reported when surgery is used alone.The role of adjuvant radiotherapy after surgical resection of primary disease is controversial and should be based on a balanced discussion of potential morbidity from radiotherapy and local recurrence.In this patient,the maximum dimension of tumor was 21 cm.This is a larger chest wall fibromatosis than has been reported thus far,to the best of our knowledge.In this case,post-operative margins were free,but in view of the large initial tumor size and potential morbidity in case of any future locoregional recurrence,post-operative adjuvant external beam radiation was delivered.An image guided intensity modulated radiotherapy technique was chosen to spare adjacent breast and lung parenchyma,and tolerance of these structures was well respected.This case provides insight into this treatment approach.
文摘Primary carcinoma of breast is common but breast is a rare site of metastasis and metastases from extramammary sites are even rarer.Metastasis to breast from rectal carcinoma is very unusual and till now 19 cases of breast secondaries from colorectal carcinoma have been reported in literature which include 14 cases where the primary site was colon and remaining 5 were from the rectum.Here the authors report a case of adenocarcinoma anorectum who had completed treatment and after 4 months developed a lump in her left breast which was metastatic.Metastatic lesions of breast are usually part of a widely disseminated disease but this case presented as a solitary breast metastasis which mimicked as second primary cancer of the breast.
