Focal necrosis mimicking breast cancer following coronary bypass grafting

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209805%3A_____%2F17%3A00077835" target="_blank" >RIV/00209805:_____/17:00077835 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/17:00098833 RIV/00209775:_____/17:N0000005

Result on the web

<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450347/" target="_blank" >https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450347/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12957-017-1178-4" target="_blank" >10.1186/s12957-017-1178-4</a>

Result language

angličtina

Original language name

Focal necrosis mimicking breast cancer following coronary bypass grafting

Original language description

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 nontypical 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.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30204 - Oncology

Project

<a href="/en/project/LO1413" target="_blank" >LO1413: RECAMO2020</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

World journal of surgical oncology

ISSN

1477-7819

e-ISSN

—

Volume of the periodical

15

Issue of the periodical within the volume

30.5.2017

Country of publishing house

GB - UNITED KINGDOM

Number of pages

4

Pages from-to

111

UT code for WoS article

000402593100004

EID of the result in the Scopus database

2-s2.0-85019743236