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@article{1399356,
author = {Coufal, Oldřich and Ostrizek, T. and Krsicka, P. and Lzicarova, E. and Nenutil, R. and Prochazkova, M. and Bencsikova, B. and Grell, Peter and Šefr, Roman},
article_location = {London},
article_number = {MAY 30},
doi = {http://dx.doi.org/10.1186/s12957-017-1178-4},
keywords = {Coronary artery bypass; Mammary arteries; Necrosis; Breast; Carcinoma},
language = {eng},
issn = {1477-7819},
journal = {World Journal of Surgical Oncology},
title = {Focal necrosis mimicking breast cancer following coronary bypass grafting},
volume = {15},
year = {2017}
}
TY - JOUR
ID - 1399356
AU - Coufal, Oldřich - Ostrizek, T. - Krsicka, P. - Lzicarova, E. - Nenutil, R. - Prochazkova, M. - Bencsikova, B. - Grell, Peter - Šefr, Roman
PY - 2017
TI - Focal necrosis mimicking breast cancer following coronary bypass grafting
JF - World Journal of Surgical Oncology
VL - 15
IS - MAY 30
SP - 1-4
EP - 1-4
PB - BioMed Central
SN - 14777819
KW - Coronary artery bypass
KW - Mammary arteries
KW - Necrosis
KW - Breast
KW - Carcinoma
N2 - 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.
ER -
COUFAL, Oldřich, T. OSTRIZEK, P. KRSICKA, E. LZICAROVA, R. NENUTIL, M. PROCHAZKOVA, B. BENCSIKOVA, Peter GRELL and Roman ŠEFR. Focal necrosis mimicking breast cancer following coronary bypass grafting. \textit{World Journal of Surgical Oncology}. London: BioMed Central, 2017, vol.~15, MAY 30, p.~1-4. ISSN~1477-7819. Available from: https://dx.doi.org/10.1186/s12957-017-1178-4.
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