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  • Olander, SusanneDepartment of Surgery, Sunderby Hospital, Luleå, Sweden,Sunderby Hosp, Dept Surg, Luleå, Sweden. (author)

Angiosarcoma in the breast: a population-based cohort from Sweden

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Oxford University Press,2023

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/332814
  • https://gup.ub.gu.se/publication/332814URI
  • https://doi.org/10.1093/bjs/znad290DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-108692URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-217539URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153696603URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-531370URI

Supplementary language notes

  • Language:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Breast angiosarcoma is a rare disease mostly observed in breast cancer (BC) patients who have previously received radiotherapy (RT). Little is known about angiosarcoma aetiology, management, and outcome. The study aim was to estimate risk and to characterize breast angiosarcoma in a Swedish population-based cohort. Methods: The Swedish Cancer Registry was searched for breast angiosarcoma between 1992 and 2018 in three Swedish healthcare regions (population 5.5 million). Information on previous BC, RT, management, and outcome were retrieved from medical records. Results: Overall, 49 angiosarcomas located in the breast, chest wall, or axilla were identified, 8 primary and 41 secondary to BC treatment. Median age was 51 and 73 years, respectively. The minimum latency period of secondary angiosarcoma after a BC diagnosis was 4 years (range 4–21 years). The cumulative incidence of angiosarcoma after breast RT increased continuously, reaching 1.4‰ after 20 years. Among 44 women with angiosarcoma treated by surgery, 29 developed subsequent local recurrence. Median recurrence-free survival was 3.4 and 1.8 years for primary and secondary angiosarcoma, respectively. The 5-year overall survival probability for the whole cohort was 50 per cent (95 per cent c.i., 21 per cent–100 per cent) for primary breast angiosarcoma and 35 per cent (95 per cent c.i., 23 per cent–54 per cent) for secondary angiosarcoma. Conclusion: Breast angiosarcoma is a rare disease strongly associated with a history of previous BC RT. Overall survival is poor with high rates of local recurrences and distant metastasis.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Wennstig, Anna-Karin,1973-Umeå universitet,Kirurgi,Department of Oncology, Sundsvall Hospital, Sundsvall, Sweden,Umeå Univ, Dept Surg & Perioperat Sci, Surg, Umeå, Sweden.;Sundsvall Hosp, Dept Oncol, Sundsvall, Sweden.(Swepub:umu)anwe0167 (author)
  • Garmo, HansUppsala universitet,Uppsala kliniska forskningscentrum (UCR),Urologkirurgi,Regional Cancer Center, Uppsala, Sweden(Swepub:uu)hga27600 (author)
  • Holmberg, LarsUppsala universitet,Endokrinkirurgi,Regional Cancer Center, Uppsala, Sweden; Kings Coll London, Sch Canc & Pharmaceut Sci, Translat Oncol & Urol Res TOUR, London, England(Swepub:uu)larsholmb (author)
  • Nilsson, GregerUppsala universitet,Cancerimmunterapi,Gävle Cent Hosp, Dept Oncol, Gävle, Sweden; Visby Hosp, Dept Oncol, Visby, Sweden(Swepub:uu)grnil933 (author)
  • Blomqvist, CarlDepartment of Oncology, Helsinki University Hospital, Helsinki, Finland; Department of Oncology, Örebro University Hospital, Örebro, Sweden,Helsinki Univ Hosp, Dept Oncol, Helsinki, Finland.;Örebro Univ Hosp, Dept Oncol, Örebro, Sweden. (author)
  • Karlsson, FredrikKarolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Breast Endocrine Tumours & Sarcoma, Stockholm, Sweden. (author)
  • Wickberg, Åsa,1972-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Örebro Univ, Fac Med & Hlth, Dept Surg, Örebro, Sweden.(Swepub:oru)aawg (author)
  • Wärnberg, FredrikGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery,Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Inst Clin Sci, Dept Surg, Sahlgrenska Acad, Gothenburg, Sweden.(Swepub:gu)xwarnf (author)
  • Sund, MalinUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery, University of Helsinki, Helsinki University Hospital, Helsinki, Finland,Umeå Univ, Dept Surg & Perioperat Sci, Surg, Umeå, Sweden.;Univ Helsinki, Dept Surg, Helsinki, Sweden.;Helsinki Univ Hosp, Helsinki, Sweden.(Swepub:umu)masu0021 (author)
  • Wadsten, CharlottaUmeå universitet,Kirurgi,Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden,Umeå Univ, Dept Surg & Perioperat Sci, Surg, Umeå, Sweden.;Sundsvall Hosp, Dept Surg, S-85643 Sundsvall, Sweden.(Swepub:umu)chwa0052 (author)
  • Department of Surgery, Sunderby Hospital, Luleå, SwedenSunderby Hosp, Dept Surg, Luleå, Sweden. (creator_code:org_t)

Related titles

  • In:British Journal of Surgery: Oxford University Press110:12, s. 1850-18560007-13231365-2168

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