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Cutaneous angiosarcoma complicating morbid obesity

Identifieur interne : 000108 ( PascalFrancis/Curation ); précédent : 000107; suivant : 000109

Cutaneous angiosarcoma complicating morbid obesity

Auteurs : Muhammad Azam [États-Unis] ; M. Hossein Saboorian [États-Unis] ; Samuel Bieligk [États-Unis] ; Todd Smith [États-Unis] ; Kyle Molberg [États-Unis]

Source :

RBID : Pascal:01-0246996

Descripteurs français

English descriptors

Abstract

. Herein, we report a case of cutaneous angiosarcoma in a 35-year-old, morbidly obese woman. The tumor arose in the most dependent portion of the lower abdominal panniculus and showed typical changes of chronic lymphedema. The patient underwent a radical resection of her lower abdominal wall panniculus, which showed a multicentric, high-grade angiosarcoma with bilateral superficial inguinal lymph node metastases. Histologically, conventional vasoformative areas were admixed with poorly differentiated sheets of spindle and epithelioid cells. Factor VIII was focally positive (membranous), whereas CD31 showed robust, diffuse positivity (membranous and cytoplasmic). The initial margins of resection were negative, and no follow-up radiation or chemotherapy was given. Following a recurrence at the previous excision site, the patient died 7 months after the surgery. Postmortem examination revealed a widely metastatic tumor that involved multiple organ systems. We believe this is the second report of cutaneous angiosarcoma occurring in a chronically lymphedematous abdominal panniculus due to morbid obesity.
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A02 01      @0 APLMAS
A03   1    @0 Arch. pathol. lab. med. : (1976)
A05       @2 125
A06       @2 4
A08 01  1  ENG  @1 Cutaneous angiosarcoma complicating morbid obesity
A11 01  1    @1 AZAM (Muhammad)
A11 02  1    @1 SABOORIAN (M. Hossein)
A11 03  1    @1 BIELIGK (Samuel)
A11 04  1    @1 SMITH (Todd)
A11 05  1    @1 MOLBERG (Kyle)
A14 01      @1 Department of Pathology, The University of Texas Southwestern Medical Center @2 Dallas, Tex. @3 USA @Z 1 aut. @Z 2 aut. @Z 5 aut.
A14 02      @1 Department of Surgery, The University of Texas Southwestern Medical Center @2 Dallas, Tex. @3 USA @Z 3 aut. @Z 4 aut.
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A21       @1 2001
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C01 01    ENG  @0 . Herein, we report a case of cutaneous angiosarcoma in a 35-year-old, morbidly obese woman. The tumor arose in the most dependent portion of the lower abdominal panniculus and showed typical changes of chronic lymphedema. The patient underwent a radical resection of her lower abdominal wall panniculus, which showed a multicentric, high-grade angiosarcoma with bilateral superficial inguinal lymph node metastases. Histologically, conventional vasoformative areas were admixed with poorly differentiated sheets of spindle and epithelioid cells. Factor VIII was focally positive (membranous), whereas CD31 showed robust, diffuse positivity (membranous and cytoplasmic). The initial margins of resection were negative, and no follow-up radiation or chemotherapy was given. Following a recurrence at the previous excision site, the patient died 7 months after the surgery. Postmortem examination revealed a widely metastatic tumor that involved multiple organ systems. We believe this is the second report of cutaneous angiosarcoma occurring in a chronically lymphedematous abdominal panniculus due to morbid obesity.
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C03 01  X  FRE  @0 Angiosarcome @5 01
C03 01  X  ENG  @0 Angiosarcoma @5 01
C03 01  X  SPA  @0 Angiosarcoma @5 01
C03 02  X  FRE  @0 Peau @5 02
C03 02  X  ENG  @0 Skin @5 02
C03 02  X  SPA  @0 Piel @5 02
C03 03  X  FRE  @0 Obésité @5 04
C03 03  X  ENG  @0 Obesity @5 04
C03 03  X  SPA  @0 Obesidad @5 04
C03 04  X  FRE  @0 Grave @5 05
C03 04  X  ENG  @0 Severe @5 05
C03 04  X  SPA  @0 Grave @5 05
C03 05  X  FRE  @0 Lymphoedème @5 07
C03 05  X  ENG  @0 Lymphedema @5 07
C03 05  X  SPA  @0 Linfedema @5 07
C03 06  X  FRE  @0 Immunohistochimie @5 10
C03 06  X  ENG  @0 Immunohistochemistry @5 10
C03 06  X  SPA  @0 Inmunohistoquímica @5 10
C03 07  X  FRE  @0 Exploration clinique @5 11
C03 07  X  ENG  @0 Clinical investigation @5 11
C03 07  X  SPA  @0 Exploración clínica @5 11
C03 08  X  FRE  @0 Etude cas @5 17
C03 08  X  ENG  @0 Case study @5 17
C03 08  X  SPA  @0 Estudio caso @5 17
C03 09  X  FRE  @0 Adulte @5 20
C03 09  X  ENG  @0 Adult @5 20
C03 09  X  SPA  @0 Adulto @5 20
C03 10  X  FRE  @0 Femelle @5 21
C03 10  X  ENG  @0 Female @5 21
C03 10  X  SPA  @0 Hembra @5 21
C03 11  X  FRE  @0 Sarcome @5 25
C03 11  X  ENG  @0 Sarcoma @5 25
C03 11  X  SPA  @0 Sarcoma @5 25
C03 12  X  FRE  @0 Etat nutritionnel @5 27
C03 12  X  ENG  @0 Nutritional status @5 27
C03 12  X  SPA  @0 Estado nutricional @5 27
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Appareil circulatoire pathologie @5 37
C07 02  X  ENG  @0 Cardiovascular disease @5 37
C07 02  X  SPA  @0 Aparato circulatorio patología @5 37
C07 03  X  FRE  @0 Vaisseau sanguin pathologie @5 38
C07 03  X  ENG  @0 Vascular disease @5 38
C07 03  X  SPA  @0 Vaso sanguíneo patología @5 38
C07 04  X  FRE  @0 Tumeur maligne @5 39
C07 04  X  ENG  @0 Malignant tumor @5 39
C07 04  X  SPA  @0 Tumor maligno @5 39
C07 05  X  FRE  @0 Peau pathologie @5 40
C07 05  X  ENG  @0 Skin disease @5 40
C07 05  X  SPA  @0 Piel patología @5 40
C07 06  X  FRE  @0 Trouble nutrition @5 45
C07 06  X  ENG  @0 Nutrition disorder @5 45
C07 06  X  SPA  @0 Trastorno nutricíon @5 45
C07 07  X  FRE  @0 Lymphatique pathologie @5 54
C07 07  X  ENG  @0 Lymphatic vessel disease @5 54
C07 07  X  SPA  @0 Linfático patología @5 54
C07 08  X  FRE  @0 Anatomopathologie @5 61
C07 08  X  ENG  @0 Pathology @5 61
C07 08  X  SPA  @0 Anatomía patológica @5 61
N21       @1 169

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Pascal:01-0246996

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<div type="abstract" xml:lang="en">. Herein, we report a case of cutaneous angiosarcoma in a 35-year-old, morbidly obese woman. The tumor arose in the most dependent portion of the lower abdominal panniculus and showed typical changes of chronic lymphedema. The patient underwent a radical resection of her lower abdominal wall panniculus, which showed a multicentric, high-grade angiosarcoma with bilateral superficial inguinal lymph node metastases. Histologically, conventional vasoformative areas were admixed with poorly differentiated sheets of spindle and epithelioid cells. Factor VIII was focally positive (membranous), whereas CD31 showed robust, diffuse positivity (membranous and cytoplasmic). The initial margins of resection were negative, and no follow-up radiation or chemotherapy was given. Following a recurrence at the previous excision site, the patient died 7 months after the surgery. Postmortem examination revealed a widely metastatic tumor that involved multiple organ systems. We believe this is the second report of cutaneous angiosarcoma occurring in a chronically lymphedematous abdominal panniculus due to morbid obesity.</div>
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<fC03 i1="09" i2="X" l="FRE">
<s0>Adulte</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Adult</s0>
<s5>20</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Adulto</s0>
<s5>20</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Femelle</s0>
<s5>21</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Female</s0>
<s5>21</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Hembra</s0>
<s5>21</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Sarcome</s0>
<s5>25</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Sarcoma</s0>
<s5>25</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Sarcoma</s0>
<s5>25</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Etat nutritionnel</s0>
<s5>27</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Nutritional status</s0>
<s5>27</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Estado nutricional</s0>
<s5>27</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Vaisseau sanguin pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Vascular disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Vaso sanguíneo patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Peau pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Skin disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Piel patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Trouble nutrition</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Nutrition disorder</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Trastorno nutricíon</s0>
<s5>45</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>54</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>54</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Anatomopathologie</s0>
<s5>61</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Pathology</s0>
<s5>61</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Anatomía patológica</s0>
<s5>61</s5>
</fC07>
<fN21>
<s1>169</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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