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Composite Hemangioendothelioma of the Submandibular Region

Identifieur interne : 000A16 ( Pmc/Curation ); précédent : 000A15; suivant : 000A17

Composite Hemangioendothelioma of the Submandibular Region

Auteurs : Sarah Lam Shang Leen ; Peter M. Clarke [Royaume-Uni] ; John Chapman [Royaume-Uni] ; Cyril Fisher [Royaume-Uni] ; Khin Thway [Royaume-Uni]

Source :

Head and Neck Pathology [ 1936-055X ] ; 2015.

RBID : PMC:4651927

Abstract

Composite hemangioendothelioma (HE) is a rare vascular neoplasm of intermediate malignant potential that predominantly occurs within the dermis or subcutis of the extremities, and occurs in a wide age range. It is locally aggressive with a high rate of local recurrence, and more rarely regional lymph node or distant metastasis. Histologically, it is composed of a complex admixture of benign, intermediate and malignant vascular components. Although composite HE may contain angiosarcoma-like areas, its prognosis is better than that of pure angiosarcoma. We describe a case of composite HE presenting as a submandibular mass in a 43 year-old male, which included areas of prominent ‘high grade’ epithelioid angiosarcoma. This adds to the range of anatomic sites of these neoplasms, highlights the importance of recognition of the head and neck as a potential site, and emphasizes the importance of accurate diagnosis for correct management (including of long term follow up) and prognostication.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4651927

DOI: 10.1007/s12105-015-0612-6
PubMed: 25666464
PubMed Central: 4651927

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Sarah Lam Shang Leen

<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
<wicri:noCountry code="subfield">SW3 6JJ UK</wicri:noCountry>
</affiliation>

Cyril Fisher

<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
<wicri:noCountry code="subfield">SW3 6JJ UK</wicri:noCountry>
</affiliation>

<affiliation wicri:level="1"><nlm:aff id="Aff2">Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London</wicri:regionArea>
</affiliation>

Khin Thway

<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
<wicri:noCountry code="subfield">SW3 6JJ UK</wicri:noCountry>
</affiliation>

<affiliation wicri:level="1"><nlm:aff id="Aff2">Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London</wicri:regionArea>
</affiliation>

Le document en format XML

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<author><name sortKey="Leen, Sarah Lam Shang" sort="Leen, Sarah Lam Shang" uniqKey="Leen S" first="Sarah Lam Shang" last="Leen">Sarah Lam Shang Leen</name>
<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
<wicri:noCountry code="subfield">SW3 6JJ UK</wicri:noCountry>
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<author><name sortKey="Thway, Khin" sort="Thway, Khin" uniqKey="Thway K" first="Khin" last="Thway">Khin Thway</name>
<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
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<affiliation><nlm:aff id="Aff1">Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</nlm:aff>
<wicri:noCountry code="subfield">SW3 6JJ UK</wicri:noCountry>
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<front><div type="abstract" xml:lang="en"><p>Composite hemangioendothelioma (HE) is a rare vascular neoplasm of intermediate malignant potential that predominantly occurs within the dermis or subcutis of the extremities, and occurs in a wide age range. 
It is locally aggressive with a high rate of local recurrence, and more rarely regional lymph node or distant metastasis. Histologically, it is composed of a complex admixture of benign, intermediate and malignant vascular components. Although composite HE may contain angiosarcoma-like areas, its prognosis is better than that of pure angiosarcoma. We describe a case of composite HE presenting as a submandibular mass in a 43 year-old male, which included areas of prominent ‘high grade’ epithelioid angiosarcoma. This adds to the range of anatomic sites of these neoplasms, highlights the importance of recognition of the head and neck as a potential site, and emphasizes the importance of accurate diagnosis for correct management (including of long term follow up) and prognostication.</p>
</div>
</front>
</TEI>
<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Head Neck Pathol</journal-id>
<journal-id journal-id-type="iso-abbrev">Head Neck Pathol</journal-id>
<journal-title-group><journal-title>Head and Neck Pathology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1936-055X</issn>
<issn pub-type="epub">1936-0568</issn>
<publisher><publisher-name>Springer US</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25666464</article-id>
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<article-id pub-id-type="publisher-id">612</article-id>
<article-id pub-id-type="doi">10.1007/s12105-015-0612-6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Composite Hemangioendothelioma of the Submandibular Region</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Leen</surname>
<given-names>Sarah Lam Shang</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Clarke</surname>
<given-names>Peter M.</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chapman</surname>
<given-names>John</given-names>
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<xref ref-type="aff" rid="Aff3"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fisher</surname>
<given-names>Cyril</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Thway</surname>
<given-names>Khin</given-names>
</name>
<address><phone>+44 207 808 2631</phone>
<email>khin.thway@rmh.nhs.uk</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<aff id="Aff1"><label></label>
Sarcoma Unit, The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London, SW3 6JJ UK</aff>
<aff id="Aff2"><label></label>
Head and Neck Unit, The Royal Marsden NHS Foundation Trust, London, UK</aff>
<aff id="Aff3"><label></label>
Department of Histopathology, Ipswich Hospital, Ipswich, UK</aff>
</contrib-group>
<pub-date pub-type="epub"><day>10</day>
<month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><month>12</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>4</issue>
<fpage>519</fpage>
<lpage>524</lpage>
<history><date date-type="received"><day>7</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>29</day>
<month>1</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Springer Science+Business Media New York 2015</copyright-statement>
</permissions>
<abstract id="Abs1"><p>Composite hemangioendothelioma (HE) is a rare vascular neoplasm of intermediate malignant potential that predominantly occurs within the dermis or subcutis of the extremities, and occurs in a wide age range. 
It is locally aggressive with a high rate of local recurrence, and more rarely regional lymph node or distant metastasis. Histologically, it is composed of a complex admixture of benign, intermediate and malignant vascular components. Although composite HE may contain angiosarcoma-like areas, its prognosis is better than that of pure angiosarcoma. We describe a case of composite HE presenting as a submandibular mass in a 43 year-old male, which included areas of prominent ‘high grade’ epithelioid angiosarcoma. This adds to the range of anatomic sites of these neoplasms, highlights the importance of recognition of the head and neck as a potential site, and emphasizes the importance of accurate diagnosis for correct management (including of long term follow up) and prognostication.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Composite hemangioendothelioma</kwd>
<kwd>Head and neck</kwd>
<kwd>Soft tissue tumor</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer Science+Business Media New York 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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Composite Hemangioendothelioma of the Submandibular Region

Composite Hemangioendothelioma of the Submandibular Region

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Abstract

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