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Geoffrey L. Smoron, MD
Northwestern Memorial Hospital Chicago

JAMA. 1978;240(8):737.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Myerowitz et al recently described (239:403, 1978) a case of angiosarcoma of the breast treated by mastectomy and adjuvant chemotherapy consisting of vincristine and cyclophosphamide. The patient was admitted 2 1/2 years later with a metastatic lesion to the duodenum (which was surgically removed) and possible right liver metastases (apparently unbiopsied but visualized). Cyclophosphamide and androgen therapy was begun. Sixteen months later she was found to have advancing symptomatic liver metastases, and she was treated with analgesics. She died two months later, with the findings of numerous liver metastases and a large hematoma.

In their comment the authors mentioned that this patient was the third seen in their institution. The first two were treated surgically, and both have been long-term survivors. The first two references^1,2 cited by the authors report on a total of eight patients, two of whom were long-term survivors. By 1976, fewer than . . . [Full Text PDF of this Article]

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