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Acquired arteriovenous fistula of the breast following ultrasound guided biopsy of invasive ductal carcinoma.

Gregg A, Leddy R, Lewis M, Irshad A - J Clin Imaging Sci (2013)

Bottom Line: The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case.Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF).Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Radiological Science, Medical University of South Carolina, MSC 323 Charleston, SC 29425, USA.

ABSTRACT
Image guided large-core breast biopsies are commonly performed procedures with relatively rare complications. The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case. Patient developed a pulsatile vascular breast mass after an ultrasound guided breast biopsy of invasive ductal carcinoma. Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF). Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.

No MeSH data available.


Related in: MedlinePlus

58-year-old female diagnosed with arteriovenous fistula of the right breast with adjacent invasive ductal carcinoma. Sagittal color Doppler sonogram with spectral waveform imaging shows arterialization of the draining vein.
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Figure 4: 58-year-old female diagnosed with arteriovenous fistula of the right breast with adjacent invasive ductal carcinoma. Sagittal color Doppler sonogram with spectral waveform imaging shows arterialization of the draining vein.

Mentions: Ultrasound examination of the breast was performed to evaluate the new suspected vascular mass. A vascular mass was seen adjacent to the known carcinoma within a region of hematoma and measured 0.9 cm × 0.8 cm × 0.6 cm [Figure 1b]. Two large vessels were seen in continuity with this vascular mass. A high velocity flow, low resistance Doppler wave form was seen in the mass consistent with an AVF [Figure 1c]. Arterialization of the draining vein was also noted [Figure 1d]. The vascular mass and adjacent known neoplasm were excised using intraoperative ultrasound. The pathology demonstrated invasive ductal carcinoma adjacent to a vascular lesion.


Acquired arteriovenous fistula of the breast following ultrasound guided biopsy of invasive ductal carcinoma.

Gregg A, Leddy R, Lewis M, Irshad A - J Clin Imaging Sci (2013)

58-year-old female diagnosed with arteriovenous fistula of the right breast with adjacent invasive ductal carcinoma. Sagittal color Doppler sonogram with spectral waveform imaging shows arterialization of the draining vein.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814545&req=5

Figure 4: 58-year-old female diagnosed with arteriovenous fistula of the right breast with adjacent invasive ductal carcinoma. Sagittal color Doppler sonogram with spectral waveform imaging shows arterialization of the draining vein.
Mentions: Ultrasound examination of the breast was performed to evaluate the new suspected vascular mass. A vascular mass was seen adjacent to the known carcinoma within a region of hematoma and measured 0.9 cm × 0.8 cm × 0.6 cm [Figure 1b]. Two large vessels were seen in continuity with this vascular mass. A high velocity flow, low resistance Doppler wave form was seen in the mass consistent with an AVF [Figure 1c]. Arterialization of the draining vein was also noted [Figure 1d]. The vascular mass and adjacent known neoplasm were excised using intraoperative ultrasound. The pathology demonstrated invasive ductal carcinoma adjacent to a vascular lesion.

Bottom Line: The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case.Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF).Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Radiological Science, Medical University of South Carolina, MSC 323 Charleston, SC 29425, USA.

ABSTRACT
Image guided large-core breast biopsies are commonly performed procedures with relatively rare complications. The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case. Patient developed a pulsatile vascular breast mass after an ultrasound guided breast biopsy of invasive ductal carcinoma. Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF). Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.

No MeSH data available.


Related in: MedlinePlus