Sudden hemorrhage without skin invasion in a patient with breast cancer: a case report and literature review.

Yuko Kijima, Yoshihisa Umekita, Katsuhiko Ehi, Heiji Yoshinaka, Yawara Funasako, Tetsuhiro Owaki, Hiroki Yoshida, Takashi Aikou

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

We report a rare case of sudden hemorrhage caused by breast cancer. A 70-year-old Japanese woman noted fresh bleeding from her left breast. On physical examination, continuous hemorrhage accompanied by an open cavity was observed in the left breast. Mammography and ultrasonography revealed a well-circumscribed mass, with solid and cystic components, that was highly suggestive of intracystic breast carcinoma with direct skin invasion. Computed tomography and bone scintigraphy showed no distant metastasis. Aspiration biopsy of the lesion showed several clusters of adenocarcinoma cells. Modified radical mastectomy was performed with a presumptive diagnosis of stage III B left breast cancer. Invasive ductal carcinoma without skin invasion was diagnosed histologically. To the best of our knowledge, only 6 other cases of sudden hemorrhage caused by breast cancer without skin invasion have been reported in Japan. We review the literature and discuss the clinical characteristics of this unusual phenomenon.

Original languageEnglish
Pages (from-to)317-321
Number of pages5
JournalBreast cancer (Tokyo, Japan)
Volume13
Issue number3
DOIs
Publication statusPublished - 2006
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Pharmacology (medical)

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