5. Sarcoma of the breast

Question 1

Incidence of sarcoma of the breast

Answer 1

0.5 % of malignant breast diseases

Question 2

Etiology of sarcoma of the breast

Answer 2

1- May arise in an intracanalicular fibroadenoma

2- May follow previous radiotherapy as in mediastinal lymphoma.

Question 3

Pathology of sarcoma of the breast

Answer 3

Gross picture

Microscopic picture

Spread

Question 4

Gross picture in Pathology of sarcoma of the breast

Answer 4

• Pale
• friable
• large
• soft tumour.

Question 5

Microscopic picture in Pathology of sarcoma of the breast

Answer 5

Spindle cell sarcoma.

Question 6

Spread in Pathology of sarcoma of the breast

Answer 6

blood spread

Question 7

C/P of sarcoma of the breast

Answer 7

1. 30-40 years.

2. A large breast mass like that of medullary carcinoma

Question 8

D.D of sarcoma of the breast

Answer 8

Medullary carcinoma.

Question 9

The difference between sarcoma of the breast and medullary carcinoma

Answer 9

areas of cystic degeneration suggest a sarcoma

Question 10

Investigation of sarcoma of the breast

Answer 10

Triple assessment

Question 11

Treatment of sarcoma of the breast

Answer 11

Simple mastectomy followed by radiotherapy.