Open Access 01-10-2019 | Mastectomy | Case Report
Radiation-associated angiosarcoma after autologous breast reconstruction: report of two cases in a plastic surgery unit
Published in: European Journal of Plastic Surgery | Issue 5/2019
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Radiation-associated breast angiosarcoma is a rare diagnosis but is commonly reported. Angiosarcoma occurring in non-breast tissue in breasts that have been reconstructed with autologous tissue following mastectomy is extremely rare. In our unit, we have managed two patients with angiosarcoma arising in non-breast tissue autologous reconstructions. Our report emphasises that any tissue treated with radiotherapy—that is, the residual mastectomy skin flaps or non-breast tissue autologous reconstructions—are at a risk of secondary angiosarcoma. We also discuss recommended surgical management, surveillance and genetic testing.
Level of Evidence is V, risk study.