Surgical Treatment and Prognosis of Angiosarcoma of the Scalp: A Retrospective Analysis of 14 Patients in a Single Institution
Identifieur interne : 001796 ( Main/Exploration ); précédent : 001795; suivant : 001797Surgical Treatment and Prognosis of Angiosarcoma of the Scalp: A Retrospective Analysis of 14 Patients in a Single Institution
Auteurs : Jun Ho Choi [Corée du Sud] ; Kyung Chan Ahn [Corée du Sud] ; Hak Chang [Corée du Sud] ; Kyung Won Minn [Corée du Sud] ; Ung Sik Jin [Corée du Sud] ; Byung Jun Kim [Corée du Sud]Source :
- BioMed Research International [ 2314-6133 ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/321896
PubMed: 26713314
PubMed Central: 4680057
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surgical Treatment and Prognosis of Angiosarcoma of the Scalp: A Retrospective Analysis of 14 Patients in a Single Institution</title><author><name sortKey="Choi, Jun Ho" sort="Choi, Jun Ho" uniqKey="Choi J" first="Jun Ho" last="Choi">Jun Ho Choi</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ahn, Kyung Chan" sort="Ahn, Kyung Chan" uniqKey="Ahn K" first="Kyung Chan" last="Ahn">Kyung Chan Ahn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chang, Hak" sort="Chang, Hak" uniqKey="Chang H" first="Hak" last="Chang">Hak Chang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Minn, Kyung Won" sort="Minn, Kyung Won" uniqKey="Minn K" first="Kyung Won" last="Minn">Kyung Won Minn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jin, Ung Sik" sort="Jin, Ung Sik" uniqKey="Jin U" first="Ung Sik" last="Jin">Ung Sik Jin</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Byung Jun" sort="Kim, Byung Jun" uniqKey="Kim B" first="Byung Jun" last="Kim">Byung Jun Kim</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26713314</idno><idno type="pmc">4680057</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4680057</idno><idno type="RBID">PMC:4680057</idno><idno type="doi">10.1155/2015/321896</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">003C24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003C24</idno><idno type="wicri:Area/Pmc/Curation">003C23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003C23</idno><idno type="wicri:Area/Pmc/Checkpoint">000E48</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000E48</idno><idno type="wicri:Area/Ncbi/Merge">007C76</idno><idno type="wicri:Area/Ncbi/Curation">007C76</idno><idno type="wicri:Area/Ncbi/Checkpoint">007C76</idno><idno type="wicri:doubleKey">2314-6133:2015:Choi J:surgical:treatment:and</idno><idno type="wicri:Area/Main/Merge">001798</idno><idno type="wicri:Area/Main/Curation">001796</idno><idno type="wicri:Area/Main/Exploration">001796</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surgical Treatment and Prognosis of Angiosarcoma of the Scalp: A Retrospective Analysis of 14 Patients in a Single Institution</title><author><name sortKey="Choi, Jun Ho" sort="Choi, Jun Ho" uniqKey="Choi J" first="Jun Ho" last="Choi">Jun Ho Choi</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Ahn, Kyung Chan" sort="Ahn, Kyung Chan" uniqKey="Ahn K" first="Kyung Chan" last="Ahn">Kyung Chan Ahn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chang, Hak" sort="Chang, Hak" uniqKey="Chang H" first="Hak" last="Chang">Hak Chang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Minn, Kyung Won" sort="Minn, Kyung Won" uniqKey="Minn K" first="Kyung Won" last="Minn">Kyung Won Minn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jin, Ung Sik" sort="Jin, Ung Sik" uniqKey="Jin U" first="Ung Sik" last="Jin">Ung Sik Jin</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Byung Jun" sort="Kim, Byung Jun" uniqKey="Kim B" first="Byung Jun" last="Kim">Byung Jun Kim</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 110-744</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">BioMed Research International</title><idno type="ISSN">2314-6133</idno><idno type="eISSN">2314-6141</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objective</italic>. We describe specific surgical methods for angiosarcoma regarding extent of resection and reconstructive options and assess their effect on patients' prognosis.<italic> Patients and Methods</italic>. We retrospectively examined 14 patients undergoing treatment for angiosarcoma of the scalp at our institute between January 2000 and June 2015. Surgical treatment comprised wide excision of the tumor and reconstruction using a free flap with skin graft. Kaplan-Meier survival analysis was used to assess the survival parameters. Univariate and multivariate analyses were performed to evaluate the association between risk factors and outcome parameters.<italic> Results</italic>. Mean patient age at diagnosis was 69 years, and the mean follow-up period was 17 months. The overall 5- and 2-year survival rates were 15% and 75%, respectively, whereas the 5- and 2-year disease-free survival rates were 7.7% and 38.7%, respectively. The mean survival duration was 32 months. Metastatic tumor dissemination to the lung or brain was closely associated with the major cause of death. Only a deep excision margin was significantly related to the recurrence rate.<italic> Conclusions</italic>. Cases of angiosarcoma had a poor prognosis despite the aggressive treatments. Sufficient resection margins are essential for controlling local recurrence. The effect of multidisciplinary approaches needs to be explored.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gudewer, E" uniqKey="Gudewer E">E. Gudewer</name></author><author><name sortKey="Holzle, E" uniqKey="Holzle E">E. Hölzle</name></author><author><name sortKey="Li, L" uniqKey="Li L">L. Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mendenhall, W M" uniqKey="Mendenhall W">W. M. Mendenhall</name></author><author><name sortKey="Mendenhall, C M" uniqKey="Mendenhall C">C. M. 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Maki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Isogai, R" uniqKey="Isogai R">R. Isogai</name></author><author><name sortKey="Kawada, A" uniqKey="Kawada A">A. Kawada</name></author><author><name sortKey="Aragane, Y" uniqKey="Aragane Y">Y. Aragane</name></author><author><name sortKey="Tezuka, T" uniqKey="Tezuka T">T. Tezuka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Skubitz, K M" uniqKey="Skubitz K">K. M. Skubitz</name></author><author><name sortKey="Haddad, P A" uniqKey="Haddad P">P. A. Haddad</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wollina, U" uniqKey="Wollina U">U. Wollina</name></author><author><name sortKey="Fuller, J" uniqKey="Fuller J">J. Füller</name></author><author><name sortKey="Graefe, T" uniqKey="Graefe T">T. Graefe</name></author><author><name sortKey="Kaatz, M" uniqKey="Kaatz M">M. 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Lopatta</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Choi, Jun Ho" sort="Choi, Jun Ho" uniqKey="Choi J" first="Jun Ho" last="Choi">Jun Ho Choi</name></region><name sortKey="Ahn, Kyung Chan" sort="Ahn, Kyung Chan" uniqKey="Ahn K" first="Kyung Chan" last="Ahn">Kyung Chan Ahn</name><name sortKey="Chang, Hak" sort="Chang, Hak" uniqKey="Chang H" first="Hak" last="Chang">Hak Chang</name><name sortKey="Jin, Ung Sik" sort="Jin, Ung Sik" uniqKey="Jin U" first="Ung Sik" last="Jin">Ung Sik Jin</name><name sortKey="Kim, Byung Jun" sort="Kim, Byung Jun" uniqKey="Kim B" first="Byung Jun" last="Kim">Byung Jun Kim</name><name sortKey="Minn, Kyung Won" sort="Minn, Kyung Won" uniqKey="Minn K" first="Kyung Won" last="Minn">Kyung Won Minn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Surgical Treatment and Prognosis of Angiosarcoma of the Scalp: A Retrospective Analysis of 14 Patients in a Single Institution
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