Cutaneous angiosarcoma metastatic to small bowel with nodal involvement
Identifieur interne : 001225 ( Main/Exploration ); précédent : 001224; suivant : 001226Cutaneous angiosarcoma metastatic to small bowel with nodal involvement
Auteurs : Vidya A. Fleetwood ; Jamie C. Harris ; Minh B. LuuSource :
- Gastroenterology and Hepatology From Bed to Bench [ 2008-2258 ] ; 2016.
Abstract
A 77-year-old male with a history of metastatic scalp angiosarcoma presented with intractable gastrointestinal bleeding from a jejunal mass detected on capsule endoscopy. He underwent laparoscopic-assisted resection of the mass. Intraoperatively, an isolated small bowel mass with bulky lymphadenopathy was seen and resected en bloc. Pathology showed a 6.8cm high-grade metastatic angiosarcoma with nodal involvement and negative margins. Angiosarcoma is a sarcoma with a grim prognosis. The incidence is 2% of all soft tissue sarcomas; cutaneous lesions comprise 27% of manifestations and usually appear on head and neck. Risk factors include lymphedema, neurofibromatosis, vinyl chloride, arsenic, and anabolic steroids. Overall 5-year survival is 30-35% and is higher in patients younger than 60, those without metastasis, tumors less than 5 cm, and favorable histology. Angiosarcoma metastasis to small bowel is rare but nodal involvement is even more unusual, reported only three times in the literature. This case is the first with nodal involvement to present at a resectable stage. To diagnose disease when still at a resectable stage, a high index of suspicion must be maintained with any gastrointestinal symptoms in a patient with a history of angiosarcoma. Laparoscopic-assisted resection is safe for the resection of small bowel angiosarcoma.
Url:
PubMed: 27895862
PubMed Central: 5118861
Affiliations:
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Luu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27895862</idno><idno type="pmc">5118861</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5118861</idno><idno type="RBID">PMC:5118861</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002200</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002200</idno><idno type="wicri:Area/Pmc/Curation">002199</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002199</idno><idno type="wicri:Area/Pmc/Checkpoint">000A79</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000A79</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000495</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000495</idno><idno type="wicri:Area/PubMed/Curation">000495</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000495</idno><idno type="wicri:Area/PubMed/Checkpoint">000495</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000495</idno><idno type="wicri:Area/Ncbi/Merge">008A51</idno><idno type="wicri:Area/Ncbi/Curation">008A51</idno><idno type="wicri:Area/Ncbi/Checkpoint">008A51</idno><idno type="wicri:doubleKey">2008-2258:2016:Fleetwood V:cutaneous:angiosarcoma:metastatic</idno><idno type="wicri:Area/Main/Merge">001227</idno><idno type="wicri:Area/Main/Curation">001225</idno><idno type="wicri:Area/Main/Exploration">001225</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cutaneous angiosarcoma metastatic to small bowel with nodal involvement </title><author><name sortKey="Fleetwood, Vidya A" sort="Fleetwood, Vidya A" uniqKey="Fleetwood V" first="Vidya A" last="Fleetwood">Vidya A. Fleetwood</name></author><author><name sortKey="Harris, Jamie C" sort="Harris, Jamie C" uniqKey="Harris J" first="Jamie C" last="Harris">Jamie C. Harris</name></author><author><name sortKey="Luu, Minh B" sort="Luu, Minh B" uniqKey="Luu M" first="Minh B" last="Luu">Minh B. Luu</name></author></analytic><series><title level="j">Gastroenterology and Hepatology From Bed to Bench</title><idno type="ISSN">2008-2258</idno><idno type="eISSN">2008-4234</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 77-year-old male with a history of metastatic scalp angiosarcoma presented with intractable gastrointestinal bleeding from a jejunal mass detected on capsule endoscopy. He underwent laparoscopic-assisted resection of the mass. Intraoperatively, an isolated small bowel mass with bulky lymphadenopathy was seen and resected en bloc. Pathology showed a 6.8cm high-grade metastatic angiosarcoma with nodal involvement and negative margins. Angiosarcoma is a sarcoma with a grim prognosis. The incidence is 2% of all soft tissue sarcomas; cutaneous lesions comprise 27% of manifestations and usually appear on head and neck. Risk factors include lymphedema, neurofibromatosis, vinyl chloride, arsenic, and anabolic steroids. Overall 5-year survival is 30-35% and is higher in patients younger than 60, those without metastasis, tumors less than 5 cm, and favorable histology. Angiosarcoma metastasis to small bowel is rare but nodal involvement is even more unusual, reported only three times in the literature. This case is the first with nodal involvement to present at a resectable stage. To diagnose disease when still at a resectable stage, a high index of suspicion must be maintained with any gastrointestinal symptoms in a patient with a history of angiosarcoma. Laparoscopic-assisted resection is safe for the resection of small bowel angiosarcoma. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Young, Rj" uniqKey="Young R">RJ Young</name></author><author><name sortKey="Brown, Nj" uniqKey="Brown N">NJ Brown</name></author><author><name sortKey="Reed, Mw" uniqKey="Reed M">MW Reed</name></author><author><name sortKey="Hughes, D" uniqKey="Hughes D">D Hughes</name></author><author><name sortKey="Woll, Pj" uniqKey="Woll P">PJ Woll</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ni, Q" uniqKey="Ni Q">Q Ni</name></author><author><name sortKey="Shang, D" uniqKey="Shang D">D Shang</name></author><author><name sortKey="Peng, H" uniqKey="Peng H">H Peng</name></author><author><name sortKey="Roy, M" uniqKey="Roy M">M Roy</name></author><author><name sortKey="Liang, G" uniqKey="Liang G">G Liang</name></author><author><name sortKey="Bi, W" uniqKey="Bi W">W Bi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahmad, Z" uniqKey="Ahmad Z">Z Ahmad</name></author><author><name sortKey="Nisa, A" uniqKey="Nisa A">A Nisa</name></author><author><name sortKey="Idrees, R" uniqKey="Idrees R">R Idrees</name></author><author><name sortKey="Minhas, K" uniqKey="Minhas K">K Minhas</name></author><author><name sortKey="Pervez, S" uniqKey="Pervez S">S Pervez</name></author><author><name sortKey="Mumtaz, K" uniqKey="Mumtaz K">K Mumtaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kamo, R" uniqKey="Kamo R">R Kamo</name></author><author><name sortKey="Ishina, K" uniqKey="Ishina K">K Ishina</name></author><author><name sortKey="Hirata, C" uniqKey="Hirata C">C Hirata</name></author><author><name sortKey="Doi, K" uniqKey="Doi K">K Doi</name></author><author><name sortKey="Nakanishi, T" uniqKey="Nakanishi T">T Nakanishi</name></author><author><name sortKey="Harada, T" uniqKey="Harada T">T Harada</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruffolo, C" uniqKey="Ruffolo C">C Ruffolo</name></author><author><name sortKey="Angriman, I" uniqKey="Angriman I">I Angriman</name></author><author><name sortKey="Montesco, Mc" uniqKey="Montesco M">MC Montesco</name></author><author><name sortKey="Scarpa, M" uniqKey="Scarpa M">M Scarpa</name></author><author><name sortKey="Polese, L" uniqKey="Polese L">L Polese</name></author><author><name sortKey="Barollo, M" uniqKey="Barollo M">M Barollo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Selk, A" uniqKey="Selk A">A Selk</name></author><author><name sortKey="Wehrli, B" uniqKey="Wehrli B">B Wehrli</name></author><author><name sortKey="Taylor, Bm" uniqKey="Taylor B">BM Taylor</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Fleetwood, Vidya A" sort="Fleetwood, Vidya A" uniqKey="Fleetwood V" first="Vidya A" last="Fleetwood">Vidya A. Fleetwood</name><name sortKey="Harris, Jamie C" sort="Harris, Jamie C" uniqKey="Harris J" first="Jamie C" last="Harris">Jamie C. Harris</name><name sortKey="Luu, Minh B" sort="Luu, Minh B" uniqKey="Luu M" first="Minh B" last="Luu">Minh B. Luu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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