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.
Similar content being viewed by others
Abbreviations
- ER:
-
Estrogen receptor
- PgR:
-
Progesterone receptor
References
The Japanese Breast Cancer Society: General Rules for Clinical and Pathological Recording of Breast Cancer, 12th ed, Kanehara, Tokyo, 1996.
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.
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).
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).
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).
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.
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).
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.
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.
Author information
Authors and Affiliations
About this article
Cite this article
Nagasawa, M., lino, Y., Horiguchi, J. et al. Sudden hemorrhage of the breast caused by breast cancer: a case report and review of the literature. Breast Cancer 7, 176–178 (2000). https://doi.org/10.1007/BF02967454
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02967454