{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:01:40Z","timestamp":1776060100752,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,12]]},"DOI":"10.7759\/cureus.106925","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:32:30Z","timestamp":1776058350000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Auto-Amputation of the Breast in a Patient With Advanced Malignant Fungating Wound and Distant Metastases Involving the Lungs and Left Upper Extremity: A Case Report"],"prefix":"10.7759","author":[{"given":"Emilia","family":"Piaszczynska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oktawia","family":"Pylak-Piwko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad159","article-title":"A rare case of inflammatory breast cancer with delayed auto-amputation in modern times","volume":"2023","author":"Tan HH","year":"2023","unstructured":"Tan HH, Goh IY, Muduioa G. A rare case of inflammatory breast cancer with delayed auto-amputation in modern times. J Surg Case Rep. 2023, 2023:rjad159. 10.1093\/jscr\/rjad159","journal-title":"J Surg Case Rep"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.12696","article-title":"Auto-amputation of the breast; a rare case caused by invasive ductal carcinoma","volume":"23","author":"Firat D","year":"2017","unstructured":"Firat D, Ozturk G, Demirbas E, Idiz O, Isik A, Eken H. Auto-amputation of the breast; a rare case caused by invasive ductal carcinoma. Breast J. 2017, 23:102-3. 10.1111\/tbj.12696","journal-title":"Breast J"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.remn.2012.06.005","article-title":"Autoamputation of breast caused by invasive ductal carcinoma","volume":"32","author":"Erg\u00fcl N","year":"2013","unstructured":"Erg\u00fcl N, Kad\u0131o\u011flu H, S Y\u0131ld\u0131z, Ba\u015fkaya Y\u00fccel S, Ayd\u0131n M. Autoamputation of breast caused by invasive ductal carcinoma. Rev Esp Med Nucl Imagen Mol. 2013, 32:199-200. 10.1016\/j.remn.2012.06.005","journal-title":"Rev Esp Med Nucl Imagen Mol"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.10.028","article-title":"Prevalence and aetiology of neuropathic pain in cancer patients: a systematic review","volume":"153","author":"Bennett MI","year":"2012","unstructured":"Bennett MI, Rayment C, Hjermstad M, Aass N, Caraceni A, Kaasa S. Prevalence and aetiology of neuropathic pain in cancer patients: a systematic review. Pain. 2012, 153:359-65. 10.1016\/j.pain.2011.10.028","journal-title":"Pain"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1573","article-title":"Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment","volume":"19","author":"Chachaj A","year":"2010","unstructured":"Chachaj A, Ma\u0142yszczak K, Pyszel K, et al.. Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psychooncology. 2010, 19:299-305. 10.1002\/pon.1573","journal-title":"Psychooncology"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2022.01.001","article-title":"De-escalating locoregional therapy for axillary micrometastases in breast cancer: how much is too much?","volume":"22","author":"Merfeld EC","year":"2022","unstructured":"Merfeld EC, Burr AR, Brickson C, Neuman HB, Anderson BM. De-escalating locoregional therapy for axillary micrometastases in breast cancer: how much is too much?. Clin Breast Cancer. 2022, 22:336-42. 10.1016\/j.clbc.2022.01.001","journal-title":"Clin Breast Cancer"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21453","article-title":"Optimal pain management for patients with cancer in the modern era","volume":"68","author":"Scarborough BM","year":"2018","unstructured":"Scarborough BM, Smith CB. Optimal pain management for patients with cancer in the modern era. CA Cancer J Clin. 2018, 68:182-96. 10.3322\/caac.21453","journal-title":"CA Cancer J Clin"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdy152","article-title":"Management of cancer pain in adult patients: ESMO clinical practice guidelines","volume":"29","author":"Fallon M","year":"2018","unstructured":"Fallon M, Giusti R, Aielli F, Hoskin P, Rolke R, Sharma M, Ripamonti CI. Management of cancer pain in adult patients: ESMO clinical practice guidelines. Ann Oncol. 2018, 29:166-91. 10.1093\/annonc\/mdy152","journal-title":"Ann Oncol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.03.015","article-title":"Neuropathic pain in cancer","volume":"44","author":"Urch CE","year":"2008","unstructured":"Urch CE, Dickenson AH. Neuropathic pain in cancer. Eur J Cancer. 2008, 44:1091-6. 10.1016\/j.ejca.2008.03.015","journal-title":"Eur J Cancer"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002674","article-title":"Evolution in surgical management of breast cancer-related lymphedema: the MD Anderson Cancer Center experience","volume":"8","author":"Chu CK","year":"2020","unstructured":"Chu CK, Schaverien MV, Chang EI, et al.. Evolution in surgical management of breast cancer-related lymphedema: the MD Anderson Cancer Center experience. Plast Reconstr Surg Glob Open. 2020, 8:e2674. 10.1097\/GOX.0000000000002674","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref11","article-title":"WHO analgesic ladder","author":"Anekar AA","year":"2024","unstructured":"Anekar AA, Cascella M. WHO analgesic ladder. StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL); 2024."},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-29905-3","article-title":"Tumor necrosis associates with aggressive breast cancer features, increased hypoxia signaling and reduced patient survival","volume":"15","author":"Syrtveit AA","year":"2025","unstructured":"Syrtveit AA, Ingebriktsen LM, Tegnander AF, et al.. Tumor necrosis associates with aggressive breast cancer features, increased hypoxia signaling and reduced patient survival. Sci Rep. 2025, 15:45518. 10.1038\/s41598-025-29905-3","journal-title":"Sci Rep"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2000.9.1.25942","article-title":"The palliative management of fungating malignant wounds","volume":"9","author":"Grocott P","year":"2000","unstructured":"Grocott P. The palliative management of fungating malignant wounds. J Wound Care. 2000, 9:4-9. 10.12968\/jowc.2000.9.1.25942","journal-title":"J Wound Care"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.5.265","article-title":"Review of patients' experiences with fungating wounds and associated quality of life","volume":"22","author":"Gibson S","year":"2013","unstructured":"Gibson S, Green J. Review of patients' experiences with fungating wounds and associated quality of life. J Wound Care. 2013, 22:265-6. 10.12968\/jowc.2013.22.5.265","journal-title":"J Wound Care"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/107327480000700205","article-title":"Interventional treatment of cancer pain: the fourth step in the World Health Organization analgesic ladder?","volume":"7","author":"Miguel R","year":"2000","unstructured":"Miguel R. Interventional treatment of cancer pain: the fourth step in the World Health Organization analgesic ladder?. Cancer Control. 2000, 7:149-56. 10.1177\/107327480000700205","journal-title":"Cancer Control"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/485407-spontaneous-auto-amputation-of-the-breast-in-a-patient-with-advanced-malignant-fungating-wound-and-distant-metastases-involving-the-lungs-and-left-upper-extremity-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:32:31Z","timestamp":1776058351000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/485407-spontaneous-auto-amputation-of-the-breast-in-a-patient-with-advanced-malignant-fungating-wound-and-distant-metastases-involving-the-lungs-and-left-upper-extremity-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,12]]},"references-count":15,"URL":"https:\/\/doi.org\/10.7759\/cureus.106925","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,12]]}}}