Angiosarcoma of the of scalp with calvarium involvement in a 50-year-old African-American man.
Identifieur interne : 001C34 ( Ncbi/Merge ); précédent : 001C33; suivant : 001C35Angiosarcoma of the of scalp with calvarium involvement in a 50-year-old African-American man.
Auteurs : Michael K. Obeng ; Ambrosia Hernandez ; Amer Dastgir ; Patrick A. Adegboyega ; Paul Salinas ; Dennis C. GoreSource :
- Journal of the National Medical Association [ 0027-9684 ] ; 2004.
Abstract
BACKGROUND: Angiosarcoma of the scalp is a rare, aggressive, and deadly cancer that affects mainly elderly Caucasian men. OBJECTIVES: The insidious and masquerading presentation of angiosarcoma poses enormous diagnostic challenges for primary care providers. PATIENTS/METHODS: We present a case of a 50-year-old black man referred for evaluation of a 3.7-cm-x-5.4-cm ulcerated, fluctuant scalp lesion that had failed to respond to different antibiotics and proper wound care. RESULTS: Surgical excision and subsequent histopathology revealed angiosarcoma. CONCLUSIONS: This case report highlights the importance of high index of suspicion for early diagnosis of cancerous lesions in wounds and stresses the need to include angiosarcoma in the differential diagnosis for all face and scalp lesions, as early detection may save lives. A comprehensive literature review is also presented.
Url:
PubMed: 15586656
PubMed Central: 2568600
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PMC:2568600Le document en format XML
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<author><name sortKey="Obeng, Michael K" sort="Obeng, Michael K" uniqKey="Obeng M" first="Michael K." last="Obeng">Michael K. Obeng</name>
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<author><name sortKey="Hernandez, Ambrosia" sort="Hernandez, Ambrosia" uniqKey="Hernandez A" first="Ambrosia" last="Hernandez">Ambrosia Hernandez</name>
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<author><name sortKey="Dastgir, Amer" sort="Dastgir, Amer" uniqKey="Dastgir A" first="Amer" last="Dastgir">Amer Dastgir</name>
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<author><name sortKey="Adegboyega, Patrick A" sort="Adegboyega, Patrick A" uniqKey="Adegboyega P" first="Patrick A." last="Adegboyega">Patrick A. Adegboyega</name>
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<author><name sortKey="Salinas, Paul" sort="Salinas, Paul" uniqKey="Salinas P" first="Paul" last="Salinas">Paul Salinas</name>
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<author><name sortKey="Gore, Dennis C" sort="Gore, Dennis C" uniqKey="Gore D" first="Dennis C." last="Gore">Dennis C. Gore</name>
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<author><name sortKey="Hernandez, Ambrosia" sort="Hernandez, Ambrosia" uniqKey="Hernandez A" first="Ambrosia" last="Hernandez">Ambrosia Hernandez</name>
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<author><name sortKey="Salinas, Paul" sort="Salinas, Paul" uniqKey="Salinas P" first="Paul" last="Salinas">Paul Salinas</name>
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<front><div type="abstract" xml:lang="en"><p>BACKGROUND: Angiosarcoma of the scalp is a rare, aggressive, and deadly cancer that affects mainly elderly Caucasian men. OBJECTIVES: The insidious and masquerading presentation of angiosarcoma poses enormous diagnostic challenges for primary care providers. PATIENTS/METHODS: We present a case of a 50-year-old black man referred for evaluation of a 3.7-cm-x-5.4-cm ulcerated, fluctuant scalp lesion that had failed to respond to different antibiotics and proper wound care. RESULTS: Surgical excision and subsequent histopathology revealed angiosarcoma. CONCLUSIONS: This case report highlights the importance of high index of suspicion for early diagnosis of cancerous lesions in wounds and stresses the need to include angiosarcoma in the differential diagnosis for all face and scalp lesions, as early detection may save lives. A comprehensive literature review is also presented.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Natl Med Assoc</journal-id>
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<title-group><article-title>Angiosarcoma of the of scalp with calvarium involvement in a 50-year-old African-American man.</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Obeng</surname>
<given-names>Michael K.</given-names>
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<email>miobeng@utmb.edu</email>
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<contrib contrib-type="author"><name><surname>Hernandez</surname>
<given-names>Ambrosia</given-names>
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<contrib contrib-type="author"><name><surname>Dastgir</surname>
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<contrib contrib-type="author"><name><surname>Salinas</surname>
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<aff>Department of Surgery, Division of Plastic and Reconstructive Surgery, The University of Texas Medical Branch, Galveston, TX 77555-0724, USA.</aff>
<pub-date pub-type="ppub"><month>11</month>
<year>2004</year>
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<volume>96</volume>
<issue>11</issue>
<fpage>1507</fpage>
<lpage>1512</lpage>
<abstract><p>BACKGROUND: Angiosarcoma of the scalp is a rare, aggressive, and deadly cancer that affects mainly elderly Caucasian men. OBJECTIVES: The insidious and masquerading presentation of angiosarcoma poses enormous diagnostic challenges for primary care providers. PATIENTS/METHODS: We present a case of a 50-year-old black man referred for evaluation of a 3.7-cm-x-5.4-cm ulcerated, fluctuant scalp lesion that had failed to respond to different antibiotics and proper wound care. RESULTS: Surgical excision and subsequent histopathology revealed angiosarcoma. CONCLUSIONS: This case report highlights the importance of high index of suspicion for early diagnosis of cancerous lesions in wounds and stresses the need to include angiosarcoma in the differential diagnosis for all face and scalp lesions, as early detection may save lives. A comprehensive literature review is also presented.</p>
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