COUFAL, Oldřich, T. OSTRIZEK, P. KRSICKA, E. LZICAROVA, R. NENUTIL, M. PROCHAZKOVA, B. BENCSIKOVA, Peter GRELL a Roman ŠEFR. Focal necrosis mimicking breast cancer following coronary bypass grafting. World Journal of Surgical Oncology. London: BioMed Central, roč. 15, MAY 30, s. 1-4. ISSN 1477-7819. doi:10.1186/s12957-017-1178-4. 2017.
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Základní údaje
Originální název Focal necrosis mimicking breast cancer following coronary bypass grafting
Autoři COUFAL, Oldřich (203 Česká republika, garant, domácí), T. OSTRIZEK (203 Česká republika), P. KRSICKA (203 Česká republika), E. LZICAROVA (203 Česká republika), R. NENUTIL (203 Česká republika), M. PROCHAZKOVA (203 Česká republika), B. BENCSIKOVA (203 Česká republika), Peter GRELL (703 Slovensko) a Roman ŠEFR (203 Česká republika, domácí).
Vydání World Journal of Surgical Oncology, London, BioMed Central, 2017, 1477-7819.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30204 Oncology
Stát vydavatele Velká Británie a Severní Irsko
Utajení není předmětem státního či obchodního tajemství
Impakt faktor Impact factor: 1.792
Kód RIV RIV/00216224:14110/17:00098833
Organizační jednotka Lékařská fakulta
Doi http://dx.doi.org/10.1186/s12957-017-1178-4
UT WoS 000402593100004
Klíčová slova anglicky Coronary artery bypass; Mammary arteries; Necrosis; Breast; Carcinoma
Štítky EL OK
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnila: Soňa Böhmová, učo 232884. Změněno: 18. 3. 2018 23:09.
Anotace
Background: Breast cancer can be diagnosed easily in most cases. However, occasionally, we are faced with some conditions that can mimic it. These may include inflammations, benign tumors, cysts, hematomas, or, more rarely, focal necrosis. Case presentation: This report presents a case of focal breast necrosis following myocardial revascularization with the left internal mammary artery, which is a very rare condition, with only few cases described in the literature. The necrosis becomes usually apparent a few days or weeks after the surgery and is often coincidental with the dehiscence of sternotomy with necrosis of wound edges. As it mostly affects the skin, it can be easily recognized. Also, our patient developed a dehisced sternotomy shortly after the surgery but there were no obvious objective changes on the breast. The condition was first dominated only by non-specific subjective symptom-pain. Later, a lump in the breast occurred, when the sternotomy had already healed. Moreover, an enlarged lymph node was palpable in the axilla. Because of non-typical symptoms, the condition was suggestive of breast cancer for a relatively long time. The patient had suffered from a very strong pain until she was treated by mastectomy with a good clinical result. Conclusions: Mammary necrosis following the coronary artery bypass is rare. In most cases, it manifests on the skin shortly after the surgery concurrently with dehisced sternotomy, so it can be easily diagnosed. However, in sporadic cases, the symptoms may occur later and may mimic breast cancer. Our objective is to raise awareness of this rare condition.
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