Journal of Clinical Case Reports Medical Images and Health Sciences

Primary Breast Angiosarcoma: A case report and literature review in Athanasios Armakolas by Journal of Clinical Case Reports Medical Images and Health Sciences  Abstract Breast angiosarcomas are a specific subgroup of sarcomas classified as primary or secondary, the latter being related with radiotherapy following breast conserving surgery and the presence of chronic lymphedema. Primary breast angiosarcomas predominantly occur in younger females usually with non-specific clinical and imaging features. Surgery is the treatment of choice. Standard guidelines are not available in the absence of consensus on the effectiveness of chemotherapy. Adjuvant radiotherapy has been used for local control. We present a case of a primary breast angiosarcoma on the grounds of a previously excised benign lesion and review the literature on these aggressive tumours. Keywords : Angiosarcoma, breast, primary, case report. Case report A 55-year-old postmenopausal, otherwise fit and healthy female, pre...

Double-barrel STA-MCA bypass for cerebral revascularization after ischemic stroke. Case report by Vasilii Bobino  in  Journal of Clinical Case Reports Medical Images and Health Sciences  Abstract Background:  Carotid occlusive disease is a type of progressive disease resulting in ischemic stroke. In selected patients, extracranial-intracranial bypass remains an important treatment for the prevention of stroke. Traditionally, superfcial temporal arterymiddle cerebral artery (STA-MCA) bypass uses 1 STA branch. We have adopted a "double-barrel" technique in which both branches are joined with MCA recipients in distinct vascular territories. Case Description:   A 67-year-old woman was admitted to the neurosurgery department on the 39th day after an ischemic stroke, with diagnosed carotid occlusive disease and left hemiplegia. After surgical contraindications were excluded, double-barrel STAMCA bypass was performed. In the early postoperative period, there was ...