Focal necrosis mimicking breast cancer following coronary
bypass grafting

J 2017

Focal necrosis mimicking breast cancer following coronary bypass grafting

COUFAL, Oldřich, T. OSTRIZEK, P. KRSICKA, E. LZICAROVA, R. NENUTIL et. al.

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

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

Změněno: 18. 3. 2018 23:09, Soňa Böhmová

Anotace

V originále

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.

Citovat

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, 2017, roč. 15, MAY 30, s. 1-4. ISSN 1477-7819. Dostupné z: https://dx.doi.org/10.1186/s12957-017-1178-4.

@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 a Roman ŠEFR. Focal necrosis mimicking breast cancer following coronary bypass grafting. \textit{World Journal of Surgical Oncology}. London: BioMed Central, 2017, roč.~15, MAY 30, s.~1-4. ISSN~1477-7819. Dostupné z: https://dx.doi.org/10.1186/s12957-017-1178-4.

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