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Pleomorphic liposarcoma of the male breast: lessons from a rare malignancy during COVID-19 pandemic
  1. Brijesh Kumar Singh1,
  2. Manjunath Maruti Pol1,
  3. Toshib G A1 and
  4. Adarsh Wamanrao Barwad2
  1. 1Surgery, All India Institute of Medical Sciences, New Delhi, India
  2. 2Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Manjunath Maruti Pol; manjunath.pol{at}gmail.com

Abstract

A 52-year-old man presented with a recurrent right side breast lump. He had undergone excision of a lump on the right breast followed by adjuvant chemoradiotherapy 1 year ago for a diagnosis of pleomorphic liposarcoma. Imaging revealed a 47×36 mm lesion on the right side of the chest wall involving the pectoralis muscle. The patient underwent right radical mastectomy. Histology of the specimen showed an undifferentiated pleomorphic sarcoma infiltrating into the underlying skeletal muscle. Therefore, he was planned for chemoradiotherapy. But due to lockdown during the COVID-19 pandemic, he was lost to follow-up and later presented with malignant pleural effusion. This case emphasises the impact of COVID-19 pandemic over such rare malignancies.

  • breast cancer
  • breast surgery

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Footnotes

  • Contributors MMP and BKS manage the case. BKS and TGA prepared the initial manuscript. AWB performed the histological examination. MMP critically revised the manuscript and all the authors approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.