Abstract
We report a radically operated case of early recurrent stromal sarcoma of the breast, which is a rare entity, after surgery for the primary lesion. A 50-year-old woman was referred to a hospital because of agradually enlarging mass of the right breast. The mass with llcm in diameter was diagnosed as phyllodes tumor or stromal sarcoma by an incisional biopsy. Radical mastectomy was performed. Pathological examination revealed stromal sarcoma of the breast with osseal invasion and positive surgical stumps. Three weeks after the primary surgery, local recurrence in the chest wall was detected. Radiation therapy (a total of 20 Gy) was ineffective and bleeding from the chest wall tumor occurred. The patient was admitted to the hospital. A curative resection of the chest wall including the tumor with arectus abdominus musclocutaneous flap transplantaion was performed.
There have been no signs of recurrence for 20 months without adjuvant chemotherapy.
