Obscure gastrointestinal bleeding due to multifocal intestinal angiosarcoma
Identifieur interne : 002266 ( Pmc/Curation ); précédent : 002265; suivant : 002267Obscure gastrointestinal bleeding due to multifocal intestinal angiosarcoma
Auteurs : Dolores Navarro-Chagoya ; Marco Figueroa-Ruiz ; Javier L Pez-G Mez ; Héctor Nava-Leyva ; Carlos Eduardo Álvarez-Ponce ; Gustavo Guzmán-Sombrero ; José Velazquez-GarciaSource :
- International Journal of Surgery Case Reports [ 2210-2612 ] ; 2015.
Abstract
Intestinal angiosarcoma is a diagnostic challenge due to non-specific clinical presentation and rarity. The diagnosis of intestinal angiosarcoma must be considered in a patient with gastrointestinal bleeding and history of radiation therapy. The adjuvant therapy to intestinal angiosarcoma is not well established.
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DOI: 10.1016/j.ijscr.2015.03.049
PubMed: 25853844
PubMed Central: 4430205
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Obscure gastrointestinal bleeding due to multifocal intestinal angiosarcoma</title><author><name sortKey="Navarro Chagoya, Dolores" sort="Navarro Chagoya, Dolores" uniqKey="Navarro Chagoya D" first="Dolores" last="Navarro-Chagoya">Dolores Navarro-Chagoya</name></author><author><name sortKey="Figueroa Ruiz, Marco" sort="Figueroa Ruiz, Marco" uniqKey="Figueroa Ruiz M" first="Marco" last="Figueroa-Ruiz">Marco Figueroa-Ruiz</name></author><author><name sortKey="L Pez G Mez, Javier" sort="L Pez G Mez, Javier" uniqKey="L Pez G Mez J" first="Javier" last="L Pez-G Mez">Javier L Pez-G Mez</name></author><author><name sortKey="Nava Leyva, Hector" sort="Nava Leyva, Hector" uniqKey="Nava Leyva H" first="Héctor" last="Nava-Leyva">Héctor Nava-Leyva</name></author><author><name sortKey="Alvarez Ponce, Carlos Eduardo" sort="Alvarez Ponce, Carlos Eduardo" uniqKey="Alvarez Ponce C" first="Carlos Eduardo" last="Álvarez-Ponce">Carlos Eduardo Álvarez-Ponce</name></author><author><name sortKey="Guzman Sombrero, Gustavo" sort="Guzman Sombrero, Gustavo" uniqKey="Guzman Sombrero G" first="Gustavo" last="Guzmán-Sombrero">Gustavo Guzmán-Sombrero</name></author><author><name sortKey="Velazquez Garcia, Jose" sort="Velazquez Garcia, Jose" uniqKey="Velazquez Garcia J" first="José" last="Velazquez-Garcia">José Velazquez-Garcia</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25853844</idno><idno type="pmc">4430205</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4430205</idno><idno type="RBID">PMC:4430205</idno><idno type="doi">10.1016/j.ijscr.2015.03.049</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">002267</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002267</idno><idno type="wicri:Area/Pmc/Curation">002266</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002266</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Obscure gastrointestinal bleeding due to multifocal intestinal angiosarcoma</title><author><name sortKey="Navarro Chagoya, Dolores" sort="Navarro Chagoya, Dolores" uniqKey="Navarro Chagoya D" first="Dolores" last="Navarro-Chagoya">Dolores Navarro-Chagoya</name></author><author><name sortKey="Figueroa Ruiz, Marco" sort="Figueroa Ruiz, Marco" uniqKey="Figueroa Ruiz M" first="Marco" last="Figueroa-Ruiz">Marco Figueroa-Ruiz</name></author><author><name sortKey="L Pez G Mez, Javier" sort="L Pez G Mez, Javier" uniqKey="L Pez G Mez J" first="Javier" last="L Pez-G Mez">Javier L Pez-G Mez</name></author><author><name sortKey="Nava Leyva, Hector" sort="Nava Leyva, Hector" uniqKey="Nava Leyva H" first="Héctor" last="Nava-Leyva">Héctor Nava-Leyva</name></author><author><name sortKey="Alvarez Ponce, Carlos Eduardo" sort="Alvarez Ponce, Carlos Eduardo" uniqKey="Alvarez Ponce C" first="Carlos Eduardo" last="Álvarez-Ponce">Carlos Eduardo Álvarez-Ponce</name></author><author><name sortKey="Guzman Sombrero, Gustavo" sort="Guzman Sombrero, Gustavo" uniqKey="Guzman Sombrero G" first="Gustavo" last="Guzmán-Sombrero">Gustavo Guzmán-Sombrero</name></author><author><name sortKey="Velazquez Garcia, Jose" sort="Velazquez Garcia, Jose" uniqKey="Velazquez Garcia J" first="José" last="Velazquez-Garcia">José Velazquez-Garcia</name></author></analytic><series><title level="j">International Journal of Surgery Case Reports</title><idno type="eISSN">2210-2612</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Intestinal angiosarcoma is a diagnostic challenge due to non-specific clinical presentation and rarity.</p></list-item><list-item id="lsti0010"><label>•</label><p>The diagnosis of intestinal angiosarcoma must be considered in a patient with gastrointestinal bleeding and history of radiation therapy.</p></list-item><list-item id="lsti0015"><label>•</label><p>The adjuvant therapy to intestinal angiosarcoma is not well established.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Singla, S" uniqKey="Singla S">S. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Surg Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">Int J Surg Case Rep</journal-id><journal-title-group><journal-title>International Journal of Surgery Case Reports</journal-title></journal-title-group><issn pub-type="epub">2210-2612</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25853844</article-id><article-id pub-id-type="pmc">4430205</article-id><article-id pub-id-type="publisher-id">S2210-2612(15)00170-4</article-id><article-id pub-id-type="doi">10.1016/j.ijscr.2015.03.049</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Obscure gastrointestinal bleeding due to multifocal intestinal angiosarcoma</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Navarro-Chagoya</surname><given-names>Dolores</given-names></name><email>lolin.nch85@gmail.com</email><xref rid="cor0005" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Figueroa-Ruiz</surname><given-names>Marco</given-names></name></contrib><contrib contrib-type="author"><name><surname>López-Gómez</surname><given-names>Javier</given-names></name></contrib><contrib contrib-type="author"><name><surname>Nava-Leyva</surname><given-names>Héctor</given-names></name></contrib><contrib contrib-type="author"><name><surname>Álvarez-Ponce</surname><given-names>Carlos Eduardo</given-names></name></contrib><contrib contrib-type="author"><name><surname>Guzmán-Sombrero</surname><given-names>Gustavo</given-names></name></contrib><contrib contrib-type="author"><name><surname>Velazquez-Garcia</surname><given-names>José</given-names></name></contrib></contrib-group><aff id="aff0005">Instituto Mexicano Del Seguro Social, Department of General Surgery, Hospital de Especialidades Centro Médico Nacional La Raza, Seris y Zaachila SN, Col. La Raza, México D.F. CP 2990, Mexico</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author at: Calle Rayon 629, Col. Centro, Municipio: Oaxaca de Juárez, Estado: Oaxaca CP 68000, Mexico. Tel.: +52 5591997725. <email>lolin.nch85@gmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>27</day><month>3</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>27</day><month>3</month><year>2015</year></pub-date><volume>10</volume><fpage>169</fpage><lpage>172</lpage><history><date date-type="received"><day>30</day><month>1</month><year>2015</year></date><date date-type="rev-recd"><day>21</day><month>3</month><year>2015</year></date><date date-type="accepted"><day>21</day><month>3</month><year>2015</year></date></history><permissions><copyright-statement>© 2015 The Authors</copyright-statement><copyright-year>2015</copyright-year><license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p></license></permissions><abstract abstract-type="author-highlights"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Intestinal angiosarcoma is a diagnostic challenge due to non-specific clinical presentation and rarity.</p></list-item><list-item id="lsti0010"><label>•</label><p>The diagnosis of intestinal angiosarcoma must be considered in a patient with gastrointestinal bleeding and history of radiation therapy.</p></list-item><list-item id="lsti0015"><label>•</label><p>The adjuvant therapy to intestinal angiosarcoma is not well established.</p></list-item></list></p></abstract><abstract><sec><title>Introduction</title><p>Intestinal angiosarcomas are an extremely rare and aggressive vascular tumors, with a few cases reported in the literature.</p></sec><sec><title>Presentation of case</title><p>A 45 years-old male arrived to our hospital with intermittent gastrointestinal bleeding presenting melena and weight loss, he has antecedent of pelvic radiotherapy ten years before admission for an unknown pelvic tumor. Emergency surgery was required because of uncontrolled bleeding and hemodynamic instability. Histopathological findings revealed a multifocal high-grade epithelioid angiosarcoma, with cells reactive for CD31, keratins CKAE 1/AE3 and factor VIII.</p></sec><sec><title>Discussion</title><p>Angiosarcomas are aggressive tumors with a high rate of lymph node metastasis and peripheral organs. The diagnosis is difficult because it present nonspecific clinical presentation, radiological and histopathological findings. There are few reports of angiosarcoma involving the small intestine and the most common presentation are abdominal pain and gastrointestinal bleeding. There is not enough information for intestinal angiosarcoma secondary to radiation therapy, but there have been proposed criteria for diagnosis: no microscopic or clinical evidence of antecedent malignant lesion, angiosarcoma presented in the field of irradiation, long latency period between radiation and angiosarcoma and histological confirmation. We suspect our patient course with a secondary form of angiosarcoma. Therapy for bleeding angiosarcoma consists in control of bleeding and medical management to stabilize the patient. Once accomplished surgical resection is required.</p></sec><sec><title>Conclusion</title><p>We should keep in mind this tumors as a cause of obscure intestinal bleeding in patients with medical history of radiation therapy.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Intestinal angiosarcoma</kwd><kwd>Obscure gastrointestinal bleeding</kwd><kwd>Radiotherapy</kwd></kwd-group></article-meta></front><floats-group><fig id="fig0005"><label>Fig. 1</label><caption><p>CT scan, axial plane show an intestinal tumor.</p></caption><graphic xlink:href="gr1"></graphic></fig><fig id="fig0010"><label>Fig. 2</label><caption><p>CT scan, coronal plane showing thickening of intestinal wall.</p></caption><graphic xlink:href="gr2"></graphic></fig><fig id="fig0015"><label>Fig. 3</label><caption><p>Intraoperative presentation of the multifocal tumors.</p></caption><graphic xlink:href="gr3"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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