Unresectable Retiform Hemangioendothelioma Treated with External Beam Radiation Therapy and Chemotherapy: A Case Report and Review of the Literature
Identifieur interne : 003E79 ( Ncbi/Merge ); précédent : 003E78; suivant : 003E80Unresectable Retiform Hemangioendothelioma Treated with External Beam Radiation Therapy and Chemotherapy: A Case Report and Review of the Literature
Auteurs : Alina Z. Hirsh [États-Unis] ; Weisi Yan [États-Unis] ; Lihong Wei [États-Unis] ; A. Gabriella Wernicke [États-Unis] ; Bhupesh Parashar [États-Unis]Source :
- Sarcoma [ 1357-714X ] ; 2010.
Abstract
Retiform hemangioendothelioma (RH) is an infrequently encountered vascular neoplasm of intermediate or borderline malignancy. Treatment of RH is controversial. We present a case of a 44-year-old Asian male presenting with an unresectable RH of the pelvis. The patient was treated with concurrent low-dose Cisplatin and External beam Radiation (4140cGy in 180cGy per fraction). This is the first report of a clinical complete response and a long-term local control of this rare tumor. This has significant clinical implication, since it gives the first evidence of treatment of this rare tumor using concurrent low-dose chemotherapy and radiation.
Url:
DOI: 10.1155/2010/756246
PubMed: 20936126
PubMed Central: 2948930
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<front><div type="abstract" xml:lang="en"><p>Retiform hemangioendothelioma (RH) is an infrequently encountered vascular neoplasm of intermediate or borderline malignancy. Treatment of RH is controversial. We present a case of a 44-year-old Asian male presenting with an unresectable RH of the pelvis. The patient was treated with concurrent low-dose Cisplatin and External beam Radiation (4140cGy in 180cGy per fraction). This is the first report of a clinical complete response and a long-term local control of this rare tumor. This has significant clinical implication, since it gives the first evidence of treatment of this rare tumor using concurrent low-dose chemotherapy and radiation.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sarcoma</journal-id>
<journal-id journal-id-type="iso-abbrev">Sarcoma</journal-id>
<journal-id journal-id-type="publisher-id">SRCM</journal-id>
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<issn pub-type="ppub">1357-714X</issn>
<issn pub-type="epub">1369-1643</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
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<article-meta><article-id pub-id-type="pmid">20936126</article-id>
<article-id pub-id-type="pmc">2948930</article-id>
<article-id pub-id-type="doi">10.1155/2010/756246</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Unresectable Retiform Hemangioendothelioma Treated with External Beam Radiation Therapy and Chemotherapy: A Case Report and Review of the Literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Hirsh</surname>
<given-names>Alina Z.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yan</surname>
<given-names>Weisi</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wei</surname>
<given-names>Lihong</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wernicke</surname>
<given-names>A. Gabriella</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parashar</surname>
<given-names>Bhupesh</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Stich Radiation Center, Weill Cornell Medical Center, New York, NY 10065, USA</aff>
<aff id="I2"><sup>2</sup>
Department of Hematology/Oncology, New York Hospital Queens, NY 11355, USA</aff>
<author-notes><corresp id="cor1">*Bhupesh Parashar: <email>bup9001@med.cornell.edu</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Alberto Pappo</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2010</year>
</pub-date>
<pub-date pub-type="epub"><day>26</day>
<month>9</month>
<year>2010</year>
</pub-date>
<volume>2010</volume>
<elocation-id>756246</elocation-id>
<history><date date-type="received"><day>19</day>
<month>4</month>
<year>2010</year>
</date>
<date date-type="rev-recd"><day>15</day>
<month>8</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>16</day>
<month>8</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2010 Alina Z. Hirsh et al.</copyright-statement>
<copyright-year>2010</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Retiform hemangioendothelioma (RH) is an infrequently encountered vascular neoplasm of intermediate or borderline malignancy. Treatment of RH is controversial. We present a case of a 44-year-old Asian male presenting with an unresectable RH of the pelvis. The patient was treated with concurrent low-dose Cisplatin and External beam Radiation (4140cGy in 180cGy per fraction). This is the first report of a clinical complete response and a long-term local control of this rare tumor. This has significant clinical implication, since it gives the first evidence of treatment of this rare tumor using concurrent low-dose chemotherapy and radiation.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" position="float"><label>Figure 1</label>
<caption><p>A 44-year-old male presenting with advanced RH of the pelvis and groin (a) Prior to treatment, arrow showing the extensive area of discoloration and skin breakdown (b) Anteroposterior (A-P) RT field (c) Lateral RT field (d) Groin in the last week of RT showing good clinical response (arrow) though skin break down persists probably secondary to RT. The skin healed within 4–6 weeks of completion of RT.</p>
</caption>
<graphic xlink:href="SRCM2010-756246.001"></graphic>
</fig>
</floats-group>
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<affiliations><list><country><li>États-Unis</li>
</country>
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<tree><country name="États-Unis"><noRegion><name sortKey="Hirsh, Alina Z" sort="Hirsh, Alina Z" uniqKey="Hirsh A" first="Alina Z." last="Hirsh">Alina Z. Hirsh</name>
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<name sortKey="Parashar, Bhupesh" sort="Parashar, Bhupesh" uniqKey="Parashar B" first="Bhupesh" last="Parashar">Bhupesh Parashar</name>
<name sortKey="Wei, Lihong" sort="Wei, Lihong" uniqKey="Wei L" first="Lihong" last="Wei">Lihong Wei</name>
<name sortKey="Wernicke, A Gabriella" sort="Wernicke, A Gabriella" uniqKey="Wernicke A" first="A. Gabriella" last="Wernicke">A. Gabriella Wernicke</name>
<name sortKey="Yan, Weisi" sort="Yan, Weisi" uniqKey="Yan W" first="Weisi" last="Yan">Weisi Yan</name>
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