Diagnostic dilemma; report of a bizarre case of advanced scalp and face angiosarcoma and literature review
Identifieur interne : 005A14 ( Ncbi/Merge ); précédent : 005A13; suivant : 005A15Diagnostic dilemma; report of a bizarre case of advanced scalp and face angiosarcoma and literature review
Auteurs : Jude-Kennedy C. Emejulu [Nigeria] ; Igwebuike V. Onyiaorah [Nigeria] ; Cornelius O. Ukah [Nigeria] ; Titus Og Chukwuanukwu [Nigeria] ; Nneka Jf Osuigwe [Nigeria] ; Effiong E. Akang [Nigeria] ; Adefolarin O. Malomo [Nigeria]Source :
- International Medical Case Reports Journal [ 1179-142X ] ; 2011.
Abstract
A 36-year-old male painter presented to our service in 2007 with an ulcerated solitary scalp swelling of 8 months’ duration. The mass was a dormant, painless, pea-sized growth, which he had had since childhood and which he bruised in a passenger motorcycle road traffic accident 8 months prior to presentation. The accident caused it to flare up and progressively increase in size, with associated pain, contact bleeding, and ulceration. A work-up for excision biopsy was proposed, but the patient defaulted and presented 2 years later with an increased number of lesions all around the scalp and face and in an obviously deteriorating clinical status with regional lymph node involvement at this stage. An incisional biopsy was then carried out and the histological reports came out with three different diagnoses of glioblastoma multiforme, poorly differentiated angiosarcoma, and squamous cell carcinoma, constituting a major diagnostic dilemma for our service.
Url:
DOI: 10.2147/IMCRJ.S24975
PubMed: 23754910
PubMed Central: 3658242
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Malomo</name><affiliation wicri:level="1"><nlm:aff id="af5-imcrj-4-073">Department of Neurological Surgery, Institute of Neurological Sciences, University College Hospital, Ibadan, Oyo State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Neurological Surgery, Institute of Neurological Sciences, University College Hospital, Ibadan, Oyo State</wicri:regionArea><wicri:noRegion>Oyo State</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23754910</idno><idno type="pmc">3658242</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3658242</idno><idno type="RBID">PMC:3658242</idno><idno type="doi">10.2147/IMCRJ.S24975</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002282</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002282</idno><idno type="wicri:Area/Pmc/Curation">002281</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002281</idno><idno type="wicri:Area/Pmc/Checkpoint">003006</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003006</idno><idno type="wicri:Area/Ncbi/Merge">005A14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Diagnostic dilemma; report of a bizarre case of advanced scalp and face angiosarcoma and literature review</title><author><name sortKey="Emejulu, Jude Kennedy C" sort="Emejulu, Jude Kennedy C" uniqKey="Emejulu J" first="Jude-Kennedy C" last="Emejulu">Jude-Kennedy C. Emejulu</name><affiliation wicri:level="1"><nlm:aff id="af1-imcrj-4-073">Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Onyiaorah, Igwebuike V" sort="Onyiaorah, Igwebuike V" uniqKey="Onyiaorah I" first="Igwebuike V" last="Onyiaorah">Igwebuike V. Onyiaorah</name><affiliation wicri:level="1"><nlm:aff id="af2-imcrj-4-073">Department of Pathology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Pathology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Ukah, Cornelius O" sort="Ukah, Cornelius O" uniqKey="Ukah C" first="Cornelius O" last="Ukah">Cornelius O. Ukah</name><affiliation wicri:level="1"><nlm:aff id="af2-imcrj-4-073">Department of Pathology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Pathology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Chukwuanukwu, Titus Og" sort="Chukwuanukwu, Titus Og" uniqKey="Chukwuanukwu T" first="Titus Og" last="Chukwuanukwu">Titus Og Chukwuanukwu</name><affiliation wicri:level="1"><nlm:aff id="af3-imcrj-4-073">Plastic Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Plastic Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Osuigwe, Nneka Jf" sort="Osuigwe, Nneka Jf" uniqKey="Osuigwe N" first="Nneka Jf" last="Osuigwe">Nneka Jf Osuigwe</name><affiliation wicri:level="1"><nlm:aff id="af1-imcrj-4-073">Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State</wicri:regionArea><wicri:noRegion>Anambra State</wicri:noRegion></affiliation></author><author><name sortKey="Akang, Effiong E" sort="Akang, Effiong E" uniqKey="Akang E" first="Effiong E" last="Akang">Effiong E. Akang</name><affiliation wicri:level="1"><nlm:aff id="af4-imcrj-4-073">Department of Pathology, University College Hospital, Ibadan, Oyo State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Pathology, University College Hospital, Ibadan, Oyo State</wicri:regionArea><wicri:noRegion>Oyo State</wicri:noRegion></affiliation></author><author><name sortKey="Malomo, Adefolarin O" sort="Malomo, Adefolarin O" uniqKey="Malomo A" first="Adefolarin O" last="Malomo">Adefolarin O. Malomo</name><affiliation wicri:level="1"><nlm:aff id="af5-imcrj-4-073">Department of Neurological Surgery, Institute of Neurological Sciences, University College Hospital, Ibadan, Oyo State, Nigeria</nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea>Department of Neurological Surgery, Institute of Neurological Sciences, University College Hospital, Ibadan, Oyo State</wicri:regionArea><wicri:noRegion>Oyo State</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Medical Case Reports Journal</title><idno type="eISSN">1179-142X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 36-year-old male painter presented to our service in 2007 with an ulcerated solitary scalp swelling of 8 months’ duration. The mass was a dormant, painless, pea-sized growth, which he had had since childhood and which he bruised in a passenger motorcycle road traffic accident 8 months prior to presentation. The accident caused it to flare up and progressively increase in size, with associated pain, contact bleeding, and ulceration. A work-up for excision biopsy was proposed, but the patient defaulted and presented 2 years later with an increased number of lesions all around the scalp and face and in an obviously deteriorating clinical status with regional lymph node involvement at this stage. An incisional biopsy was then carried out and the histological reports came out with three different diagnoses of glioblastoma multiforme, poorly differentiated angiosarcoma, and squamous cell carcinoma, constituting a major diagnostic dilemma for our service.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sondak, Vk" uniqKey="Sondak V">VK Sondak</name></author><author><name sortKey="Pawlik, Tm" uniqKey="Pawlik T">TM Pawlik</name></author><author><name sortKey="Rees, Sr" uniqKey="Rees S">SR Rees</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aust, Mr" uniqKey="Aust M">MR Aust</name></author><author><name sortKey="Olsen, Kd" uniqKey="Olsen K">KD Olsen</name></author><author><name sortKey="Lewis, Je" uniqKey="Lewis J">JE Lewis</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tamiya, Yt" uniqKey="Tamiya Y">YT 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int Med Case Rep J</journal-id><journal-id journal-id-type="iso-abbrev">Int Med Case Rep J</journal-id><journal-title-group><journal-title>International Medical Case Reports Journal</journal-title></journal-title-group><issn pub-type="epub">1179-142X</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23754910</article-id><article-id pub-id-type="pmc">3658242</article-id><article-id pub-id-type="doi">10.2147/IMCRJ.S24975</article-id><article-id pub-id-type="publisher-id">imcrj-4-073</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Diagnostic dilemma; report of a bizarre case of advanced scalp and face angiosarcoma and literature review</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Emejulu</surname><given-names>Jude-Kennedy C</given-names></name><xref ref-type="aff" rid="af1-imcrj-4-073">1</xref><xref ref-type="corresp" rid="c1-imcrj-4-073"></xref></contrib><contrib contrib-type="author"><name><surname>Onyiaorah</surname><given-names>Igwebuike V</given-names></name><xref ref-type="aff" rid="af2-imcrj-4-073">2</xref></contrib><contrib contrib-type="author"><name><surname>Ukah</surname><given-names>Cornelius O</given-names></name><xref ref-type="aff" rid="af2-imcrj-4-073">2</xref></contrib><contrib contrib-type="author"><name><surname>Chukwuanukwu</surname><given-names>Titus OG</given-names></name><xref ref-type="aff" rid="af3-imcrj-4-073">3</xref></contrib><contrib contrib-type="author"><name><surname>Osuigwe</surname><given-names>Nneka JF</given-names></name><xref ref-type="aff" rid="af1-imcrj-4-073">1</xref></contrib><contrib contrib-type="author"><name><surname>Akang</surname><given-names>Effiong E</given-names></name><xref ref-type="aff" rid="af4-imcrj-4-073">4</xref></contrib><contrib contrib-type="author"><name><surname>Malomo</surname><given-names>Adefolarin O</given-names></name><xref ref-type="aff" rid="af5-imcrj-4-073">5</xref></contrib></contrib-group><aff id="af1-imcrj-4-073"><label>1</label>Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</aff><aff id="af2-imcrj-4-073"><label>2</label>Department of Pathology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</aff><aff id="af3-imcrj-4-073"><label>3</label>Plastic Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025 Nnewi, Anambra State, Nigeria</aff><aff id="af4-imcrj-4-073"><label>4</label>Department of Pathology, University College Hospital, Ibadan, Oyo State, Nigeria</aff><aff id="af5-imcrj-4-073"><label>5</label>Department of Neurological Surgery, Institute of Neurological Sciences, University College Hospital, Ibadan, Oyo State, Nigeria</aff><author-notes><corresp id="c1-imcrj-4-073">Correspondence: Jude-Kennedy C Emejulu, Neurosurgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria, Tel +234 803 328 3976, Email <email>judekenny2003@yahoo.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>07</day><month>11</month><year>2011</year></pub-date><volume>4</volume><fpage>73</fpage><lpage>77</lpage><permissions><copyright-statement>© 2011 Emejulu et al, publisher and licensee Dove Medical Press Ltd.</copyright-statement><copyright-year>2011</copyright-year><license><license-p>This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.</license-p></license></permissions><abstract><p>A 36-year-old male painter presented to our service in 2007 with an ulcerated solitary scalp swelling of 8 months’ duration. The mass was a dormant, painless, pea-sized growth, which he had had since childhood and which he bruised in a passenger motorcycle road traffic accident 8 months prior to presentation. The accident caused it to flare up and progressively increase in size, with associated pain, contact bleeding, and ulceration. A work-up for excision biopsy was proposed, but the patient defaulted and presented 2 years later with an increased number of lesions all around the scalp and face and in an obviously deteriorating clinical status with regional lymph node involvement at this stage. An incisional biopsy was then carried out and the histological reports came out with three different diagnoses of glioblastoma multiforme, poorly differentiated angiosarcoma, and squamous cell carcinoma, constituting a major diagnostic dilemma for our service.</p></abstract><kwd-group><kwd>angiosarcoma</kwd><kwd>glioblastoma multiforme</kwd><kwd>head</kwd><kwd>neck</kwd><kwd>squamous cell carcinoma</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-imcrj-4-073" position="float"><label>Figure 1</label><caption><p>Views of the lesion: left, front, and right sides.</p></caption><graphic xlink:href="imcrj-4-073f1"></graphic></fig><fig id="f2-imcrj-4-073" position="float"><label>Figure 2</label><caption><p>Histology photomicrographs of the patient, showing abundant eosinophilic cytoplasm and some poorly differentiated vascular channels lined by a few endothelial cells.</p></caption><graphic xlink:href="imcrj-4-073f2"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Nigeria</li></country></list><tree><country name="Nigeria"><noRegion><name sortKey="Emejulu, Jude Kennedy C" sort="Emejulu, Jude Kennedy C" uniqKey="Emejulu J" first="Jude-Kennedy C" last="Emejulu">Jude-Kennedy C. Emejulu</name></noRegion><name sortKey="Akang, Effiong E" sort="Akang, Effiong E" uniqKey="Akang E" first="Effiong E" last="Akang">Effiong E. Akang</name><name sortKey="Chukwuanukwu, Titus Og" sort="Chukwuanukwu, Titus Og" uniqKey="Chukwuanukwu T" first="Titus Og" last="Chukwuanukwu">Titus Og Chukwuanukwu</name><name sortKey="Malomo, Adefolarin O" sort="Malomo, Adefolarin O" uniqKey="Malomo A" first="Adefolarin O" last="Malomo">Adefolarin O. Malomo</name><name sortKey="Onyiaorah, Igwebuike V" sort="Onyiaorah, Igwebuike V" uniqKey="Onyiaorah I" first="Igwebuike V" last="Onyiaorah">Igwebuike V. Onyiaorah</name><name sortKey="Osuigwe, Nneka Jf" sort="Osuigwe, Nneka Jf" uniqKey="Osuigwe N" first="Nneka Jf" last="Osuigwe">Nneka Jf Osuigwe</name><name sortKey="Ukah, Cornelius O" sort="Ukah, Cornelius O" uniqKey="Ukah C" first="Cornelius O" last="Ukah">Cornelius O. Ukah</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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