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Breast Cancer

, Volume 7, Issue 2, pp 176–178 | Cite as

Sudden hemorrhage of the breast caused by breast cancer: a case report and review of the literature

  • Masahiro Nagasawa
  • Yuichi lino
  • Jun Horiguchi
  • Hiroyuki Takei
  • Michio Maemura
  • Yoshio Horii
  • Hiroshi Matsumoto
  • Hiroshi Nagaoka
  • Tetunari Oyama
  • Takashi Nakajima
  • Yasuo Morishita
Case Report

Abstract

A rare case of sudden hemorrhage caused by breast cancer is reported. A 71-year-old woman noted bleeding from her left breast. Physical examination of the left breast showed a localized open cavity accompanied by bleeding and coagulation. The patient had no history of breast trauma or anticoagulation therapy. Incisional biopsy followed by histological examination resulted in a diagnosis of granulation tissue with no cancer cells present. Mammography and ultrasonography indicated probable breast cancer. As a result, a second incisional biopsy was performed, which suggested invasive ductal carcinoma without histological skin invasion. A modified radical mastectomy was performed under a diagnosis of stage II breast cancer. Breast cancer with sudden hemorrhage is rare. We review the literature and discuss the cause of this unusual manifestation.

Key words

Sudden hemorrhage Breast cancer Open cavity 

Abbreviations

ER

Estrogen receptor

PgR

Progesterone receptor

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References

  1. 1).
    The Japanese Breast Cancer Society: General Rules for Clinical and Pathological Recording of Breast Cancer, 12th ed, Kanehara, Tokyo, 1996.Google Scholar
  2. 2).
    Stephen FO, Crea P, Harker G,et al: Intraarterial chemotherapy as basal treatment in advanced and fungating primary breast cancer.Lancet 2:435–438, 1980.CrossRefGoogle Scholar
  3. 3).
    Arimura T, Fukuda M, Ohtsuka T,et al: An evaluation of nineteen cases of phyllodes tumor.J Jpn Soc Clin Surg 54:2781–2789, 1993 (in Japanese with English summary).Google Scholar
  4. 4).
    Kashimura H, Ono T, Hirai K,et al: A case of malignant phyllodes tumor requiring an emergency surgery.J Jpn Soc Clin Surg 56: 2331–2335, 1995 (in Japanese with English summary).Google Scholar
  5. 5).
    Maekawa S, Shimoda K, Furuyama M,et al: A case report of breast cancer concomitant with huge cyst due to rapture of the tumor vesseles.J Jpn Soc Clin Surg 53:2091–2094, 1992 (in Japanese with English summary).Google Scholar
  6. 6).
    Miller WL, Armstrong AL: Diffuse hemorrhage of the breast caused by underlying carcinoma of the breast; A case report.J Kentucky Med Assoc 85:600–602, 1987.Google Scholar
  7. 7).
    Wada N, Ikeda T, Hiramatsu H,et al: A case of breast cancer which rapidlygrew up to a huge mass because of intratumor bleeding.J Jpn Soc Clin Surg 57:2951–2954, 1996 (in Japanese with English summary).Google Scholar
  8. 8).
    Magnant CM: Fat necrosis, hematoma, and trauma. In: Harris JR, Lippman ME, Morrow M, Hellman S eds, Diseases of the Breast, Lippincott-Raven Publishers, Philadelphia, pp61–65, 1996.Google Scholar
  9. 9).
    Tokizawa N, lino Y, Yokoe T,et al: Sudden hemorrhage of the breast caused by breast cancer without skin invasion: report of a case.Jpn J Surg 25:920–922, 1995.CrossRefGoogle Scholar

Copyright information

© The Japanese Breast Cancer Society 2000

Authors and Affiliations

  • Masahiro Nagasawa
    • 1
  • Yuichi lino
    • 2
  • Jun Horiguchi
    • 1
  • Hiroyuki Takei
    • 1
  • Michio Maemura
    • 1
  • Yoshio Horii
    • 1
  • Hiroshi Matsumoto
    • 1
  • Hiroshi Nagaoka
    • 1
  • Tetunari Oyama
    • 3
  • Takashi Nakajima
    • 3
  • Yasuo Morishita
    • 1
  1. 1.Second Department of SurgeryGunma University School of MedicineJapan
  2. 2.Department of Emergency and Critical Care MedicineGunma University School of MedicineJapan
  3. 3.Second Department of PathologyGunma University School of MedicineJapan

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