Classification of breast sarcoma

By | October 16, 2011

Breast sarcoma wide range of different biological behavior, clinical presentation and features quite different:
Clinical classification of breast sarcoma (1) the breast phyllodes: Breast cancer accounts for 2% -3%, is the most common breast sarcoma, can occur at any age, with a median age of 30 – 40 years old. Generally believed that the tumor may be caused by a variation of fibroadenoma, the incidence may be due to estrogen stimulation. Tumors are typically large diameter, rapid growth. Mostly malignant phyllodes. Possible benign tumor removed; critical state and the low grade tumors were treated by extended resection can also be treated by simple mastectomy, quadrant resection, half-mastectomy; malignant breast tumor lines should be considered radical. Radiotherapy and chemotherapy for malignant phyllodes result is not sure.
Clinical classification of breast sarcoma (2) breast fibrosarcoma: more common, second only to phyllodes sarcoma, breast sarcoma accounts for 7%-10l) hair, occurred in 30 – 50 years old women. Rapid tumor growth, mainly metastasis. To surgical treatment, possible simple mastectomy without lymph node metastasis, the need radical surgery. Of radiotherapy and chemotherapy have a certain sensitivity. Distant metastasis often involving the lungs, possible lung metastases isolated metastases local excision, chemotherapy is also feasible.
Clinical classification of breast sarcoma (3) Breast liposarcoma: a very rare tumor, mostly single, hard, clear boundary can be active, rapid growth. Well-differentiated liposarcoma can with simple mastectomy, poorly differentiated, prone to lymph node metastasis, radical surgery should be.
Clinical classification of breast sarcoma (4) breast lymphoma: malignant lymphoma can be systemic breast local performance can also be a primary breast malignant lymphoma. The performance of the whole body of breast malignant lymphoma, in addition to local mass, the body should have more parts (such as the axilla, supraclavicular fossa, groin, see litter, etc.) lymph node enlargement, hepatosplenomegaly, fever and body mass with local pain. Rapid onset, rapid tumor growth. Lin Pat primary breast sarcoma, often may be associated with swelling of the body cream Pat junction performance. Differential diagnosis of pathological tissue biopsy is the key. Systemic chemotherapy should be the preferred treatment. Primary malignant lymphoma of the breast can control the disease, the line of breast surgery or radiotherapy alone.
Clinical classification of breast sarcoma (5) breast sarcoma: is derived from epithelial cancer and sarcoma originated in the mix of other organizations lesions. Extremely rare. Treatment of surgical excision, postoperative radiotherapy should be.

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