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Cutaneous Angiosarcoma of the Foot: A Case Report and Review of the Literature

Identifieur interne : 006F14 ( Ncbi/Merge ); précédent : 006F13; suivant : 006F15

Cutaneous Angiosarcoma of the Foot: A Case Report and Review of the Literature

Auteurs : Sharang Tenjarla [États-Unis] ; Lucy Ashley Sheils [États-Unis] ; Theresa M. Kwiatkowski [États-Unis] ; Sheema Chawla [États-Unis]

Source :

RBID : PMC:4276302

Abstract

Primary Angiosarcoma of the skin of the foot is very rare. Angiosarcoma is typically treated with resection and wide-field postoperative radiation therapy. Chemotherapy and radiation therapy have also been used. Regardless of the treatment, the risk of local and distant relapse remains high for this disease. We present a case of an elderly patient who developed cutaneous angiosarcoma of the foot. It posed as a diagnostic dilemma at presentation. Chronic lymphedema was a possible predisposing factor. Given his age, preexisting renal dysfunction, refusal of surgery, and preference not to receive chemotherapy, the patient was ultimately treated with definitive radiotherapy. We present this case because of its rare site, unique presentation and delay in diagnosis of the condition, and attainment of an excellent response to radiation at the time of follow-up. We also review the current literature on this topic.


Url:
DOI: 10.1155/2014/657876
PubMed: 25574410
PubMed Central: 4276302

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PMC:4276302

Le document en format XML

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<nlm:aff id="I1">Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
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<name sortKey="Sheils, Lucy Ashley" sort="Sheils, Lucy Ashley" uniqKey="Sheils L" first="Lucy Ashley" last="Sheils">Lucy Ashley Sheils</name>
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<name sortKey="Kwiatkowski, Theresa M" sort="Kwiatkowski, Theresa M" uniqKey="Kwiatkowski T" first="Theresa M." last="Kwiatkowski">Theresa M. Kwiatkowski</name>
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<nlm:aff id="I1">Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
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<name sortKey="Chawla, Sheema" sort="Chawla, Sheema" uniqKey="Chawla S" first="Sheema" last="Chawla">Sheema Chawla</name>
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<name sortKey="Tenjarla, Sharang" sort="Tenjarla, Sharang" uniqKey="Tenjarla S" first="Sharang" last="Tenjarla">Sharang Tenjarla</name>
<affiliation wicri:level="1">
<nlm:aff id="I1">Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
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<name sortKey="Sheils, Lucy Ashley" sort="Sheils, Lucy Ashley" uniqKey="Sheils L" first="Lucy Ashley" last="Sheils">Lucy Ashley Sheils</name>
<affiliation wicri:level="1">
<nlm:aff id="I2">Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<wicri:noRegion>NY 14621</wicri:noRegion>
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<author>
<name sortKey="Kwiatkowski, Theresa M" sort="Kwiatkowski, Theresa M" uniqKey="Kwiatkowski T" first="Theresa M." last="Kwiatkowski">Theresa M. Kwiatkowski</name>
<affiliation wicri:level="1">
<nlm:aff id="I1">Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<wicri:noRegion>NY 14621</wicri:noRegion>
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<author>
<name sortKey="Chawla, Sheema" sort="Chawla, Sheema" uniqKey="Chawla S" first="Sheema" last="Chawla">Sheema Chawla</name>
<affiliation wicri:level="1">
<nlm:aff id="I1">Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
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<series>
<title level="j">Case Reports in Oncological Medicine</title>
<idno type="ISSN">2090-6706</idno>
<idno type="eISSN">2090-6714</idno>
<imprint>
<date when="2014">2014</date>
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<div type="abstract" xml:lang="en">
<p>Primary Angiosarcoma of the skin of the foot is very rare. Angiosarcoma is typically treated with resection and wide-field postoperative radiation therapy. Chemotherapy and radiation therapy have also been used. Regardless of the treatment, the risk of local and distant relapse remains high for this disease. We present a case of an elderly patient who developed cutaneous angiosarcoma of the foot. It posed as a diagnostic dilemma at presentation. Chronic lymphedema was a possible predisposing factor. Given his age, preexisting renal dysfunction, refusal of surgery, and preference not to receive chemotherapy, the patient was ultimately treated with definitive radiotherapy. We present this case because of its rare site, unique presentation and delay in diagnosis of the condition, and attainment of an excellent response to radiation at the time of follow-up. We also review the current literature on this topic.</p>
</div>
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<name sortKey="Schwartz, G K" uniqKey="Schwartz G">G. K. Schwartz</name>
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<author>
<name sortKey="Thong, P S P" uniqKey="Thong P">P. S.-P. Thong</name>
</author>
<author>
<name sortKey="Ong, K W" uniqKey="Ong K">K.-W. Ong</name>
</author>
<author>
<name sortKey="Goh, N S G" uniqKey="Goh N">N. S.-G. Goh</name>
</author>
<author>
<name sortKey="Kho, K W" uniqKey="Kho K">K.-W. Kho</name>
</author>
<author>
<name sortKey="Manivasager, V" uniqKey="Manivasager V">V. Manivasager</name>
</author>
<author>
<name sortKey="Bhuvaneswari, R" uniqKey="Bhuvaneswari R">R. Bhuvaneswari</name>
</author>
<author>
<name sortKey="Olivo, M" uniqKey="Olivo M">M. Olivo</name>
</author>
<author>
<name sortKey="Soo, K C" uniqKey="Soo K">K.-C. Soo</name>
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<title xml:lang="en">Cutaneous angiosarcoma of the foot: a case report and review of the literature.</title>
<author>
<name sortKey="Tenjarla, Sharang" sort="Tenjarla, Sharang" uniqKey="Tenjarla S" first="Sharang" last="Tenjarla">Sharang Tenjarla</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sheils, Lucy Ashley" sort="Sheils, Lucy Ashley" uniqKey="Sheils L" first="Lucy Ashley" last="Sheils">Lucy Ashley Sheils</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kwiatkowski, Theresa M" sort="Kwiatkowski, Theresa M" uniqKey="Kwiatkowski T" first="Theresa M" last="Kwiatkowski">Theresa M. Kwiatkowski</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Chawla, Sheema" sort="Chawla, Sheema" uniqKey="Chawla S" first="Sheema" last="Chawla">Sheema Chawla</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
</titleStmt>
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<idno type="wicri:source">PubMed</idno>
<date when="2014">2014</date>
<idno type="RBID">pubmed:25574410</idno>
<idno type="pmid">25574410</idno>
<idno type="doi">10.1155/2014/657876</idno>
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<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">Cutaneous angiosarcoma of the foot: a case report and review of the literature.</title>
<author>
<name sortKey="Tenjarla, Sharang" sort="Tenjarla, Sharang" uniqKey="Tenjarla S" first="Sharang" last="Tenjarla">Sharang Tenjarla</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sheils, Lucy Ashley" sort="Sheils, Lucy Ashley" uniqKey="Sheils L" first="Lucy Ashley" last="Sheils">Lucy Ashley Sheils</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pathology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kwiatkowski, Theresa M" sort="Kwiatkowski, Theresa M" uniqKey="Kwiatkowski T" first="Theresa M" last="Kwiatkowski">Theresa M. Kwiatkowski</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Chawla, Sheema" sort="Chawla, Sheema" uniqKey="Chawla S" first="Sheema" last="Chawla">Sheema Chawla</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Radiation Oncology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Case reports in oncological medicine</title>
<idno type="ISSN">2090-6706</idno>
<imprint>
<date when="2014" type="published">2014</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">Primary Angiosarcoma of the skin of the foot is very rare. Angiosarcoma is typically treated with resection and wide-field postoperative radiation therapy. Chemotherapy and radiation therapy have also been used. Regardless of the treatment, the risk of local and distant relapse remains high for this disease. We present a case of an elderly patient who developed cutaneous angiosarcoma of the foot. It posed as a diagnostic dilemma at presentation. Chronic lymphedema was a possible predisposing factor. Given his age, preexisting renal dysfunction, refusal of surgery, and preference not to receive chemotherapy, the patient was ultimately treated with definitive radiotherapy. We present this case because of its rare site, unique presentation and delay in diagnosis of the condition, and attainment of an excellent response to radiation at the time of follow-up. We also review the current literature on this topic.</div>
</front>
</TEI>
</pubmed>
</double>
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