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Angiosarcoma arising in a lymphedematous abdominal pannus with histologic features reminiscent of Kaposi's sarcoma: report of a case and review of the literature.

Identifieur interne : 003A00 ( PubMed/Curation ); précédent : 003999; suivant : 003A01

Angiosarcoma arising in a lymphedematous abdominal pannus with histologic features reminiscent of Kaposi's sarcoma: report of a case and review of the literature.

Auteurs : James M. Shehan [États-Unis] ; Iftikhar Ahmed

Source :

RBID : pubmed:16700780

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English descriptors

Abstract

Despite common endothelial origins, angiosarcoma and Kaposi's sarcoma are clinically and histologically distinct vascular proliferations. The development of angiosarcoma in a chronically edematous abdominal pannus is extremely uncommon. Similarly, tumors with the combined histologic features of angiosarcoma and Kaposi's sarcoma have rarely been described.

DOI: 10.1111/j.1365-4632.2004.02560.x
PubMed: 16700780

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pubmed:16700780

Le document en format XML

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<title xml:lang="en">Angiosarcoma arising in a lymphedematous abdominal pannus with histologic features reminiscent of Kaposi's sarcoma: report of a case and review of the literature.</title>
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<name sortKey="Shehan, James M" sort="Shehan, James M" uniqKey="Shehan J" first="James M" last="Shehan">James M. Shehan</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Dermatology, Mayo Clinic, Rochester, Minnesota 55905, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Dermatology, Mayo Clinic, Rochester, Minnesota 55905</wicri:regionArea>
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<name sortKey="Ahmed, Iftikhar" sort="Ahmed, Iftikhar" uniqKey="Ahmed I" first="Iftikhar" last="Ahmed">Iftikhar Ahmed</name>
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<title xml:lang="en">Angiosarcoma arising in a lymphedematous abdominal pannus with histologic features reminiscent of Kaposi's sarcoma: report of a case and review of the literature.</title>
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<name sortKey="Shehan, James M" sort="Shehan, James M" uniqKey="Shehan J" first="James M" last="Shehan">James M. Shehan</name>
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<term>Abdomen (pathology)</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term>
<term>Diagnosis, Differential</term>
<term>Edema</term>
<term>Fatal Outcome</term>
<term>Female</term>
<term>Hemangiosarcoma (diagnosis)</term>
<term>Hemangiosarcoma (drug therapy)</term>
<term>Hemangiosarcoma (secondary)</term>
<term>Humans</term>
<term>Lung Neoplasms (diagnosis)</term>
<term>Lung Neoplasms (drug therapy)</term>
<term>Lung Neoplasms (secondary)</term>
<term>Obesity, Morbid</term>
<term>Sarcoma, Kaposi (diagnosis)</term>
<term>Skin Neoplasms (diagnosis)</term>
<term>Skin Neoplasms (drug therapy)</term>
<term>Skin Neoplasms (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Abdomen (anatomopathologie)</term>
<term>Diagnostic différentiel</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hémangiosarcome (diagnostic)</term>
<term>Hémangiosarcome (secondaire)</term>
<term>Hémangiosarcome (traitement médicamenteux)</term>
<term>Issue fatale</term>
<term>Obésité morbide</term>
<term>Oedème</term>
<term>Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique)</term>
<term>Sarcome de Kaposi (diagnostic)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
<term>Tumeurs cutanées (diagnostic)</term>
<term>Tumeurs cutanées (traitement médicamenteux)</term>
<term>Tumeurs du poumon (diagnostic)</term>
<term>Tumeurs du poumon (secondaire)</term>
<term>Tumeurs du poumon (traitement médicamenteux)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Abdomen</term>
<term>Tumeurs cutanées</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lung Neoplasms</term>
<term>Sarcoma, Kaposi</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Hémangiosarcome</term>
<term>Sarcome de Kaposi</term>
<term>Tumeurs cutanées</term>
<term>Tumeurs du poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lung Neoplasms</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Abdomen</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="secondaire" xml:lang="fr">
<term>Hémangiosarcome</term>
<term>Tumeurs du poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="secondary" xml:lang="en">
<term>Hemangiosarcoma</term>
<term>Lung Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en">
<term>Antineoplastic Combined Chemotherapy Protocols</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr">
<term>Hémangiosarcome</term>
<term>Tumeurs cutanées</term>
<term>Tumeurs du poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Protocoles de polychimiothérapie antinéoplasique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Diagnosis, Differential</term>
<term>Edema</term>
<term>Fatal Outcome</term>
<term>Female</term>
<term>Humans</term>
<term>Obesity, Morbid</term>
</keywords>
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<term>Diagnostic différentiel</term>
<term>Femelle</term>
<term>Humains</term>
<term>Issue fatale</term>
<term>Obésité morbide</term>
<term>Oedème</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front>
<div type="abstract" xml:lang="en">Despite common endothelial origins, angiosarcoma and Kaposi's sarcoma are clinically and histologically distinct vascular proliferations. The development of angiosarcoma in a chronically edematous abdominal pannus is extremely uncommon. Similarly, tumors with the combined histologic features of angiosarcoma and Kaposi's sarcoma have rarely been described.</div>
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<DateCreated>
<Year>2006</Year>
<Month>05</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>10</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>08</Month>
<Day>03</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0011-9059</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>45</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2006</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>International journal of dermatology</Title>
<ISOAbbreviation>Int. J. Dermatol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Angiosarcoma arising in a lymphedematous abdominal pannus with histologic features reminiscent of Kaposi's sarcoma: report of a case and review of the literature.</ArticleTitle>
<Pagination>
<MedlinePgn>499-503</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Despite common endothelial origins, angiosarcoma and Kaposi's sarcoma are clinically and histologically distinct vascular proliferations. The development of angiosarcoma in a chronically edematous abdominal pannus is extremely uncommon. Similarly, tumors with the combined histologic features of angiosarcoma and Kaposi's sarcoma have rarely been described.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We reviewed the literature on angiosarcoma arising in a lymphedematous abdominal pannus and evaluated an 81-year-old morbidly obese woman who had profound, long-standing edema of the lower abdominal wall in which an aggressive vascular tumor developed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three clinically similar cases were identified in the literature. All patients were women who generally experienced rapid disease progression. In addition, in our patient, sequential cutaneous sampling from different lesional sites demonstrated disparate histologic changes, ranging from those of classic Kaposi's sarcoma to high-grade angiosarcoma, to areas with combined features of the two tumors. A polymerase chain reaction performed on lesional tissue was negative for human herpesvirus-8 DNA.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It is important to note that angiosarcoma may develop in the abdomen in association with chronic lymphedema, as demonstrated by the cases noted in this report. In addition, our case highlights the difficulty in differentiating histologically angiosarcoma from Kaposi's sarcoma in some situations, and demonstrates the value of close clinicopathologic correlation and sequential tissue sampling in evaluating problematic cases.</AbstractText>
</Abstract>
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<LastName>Shehan</LastName>
<ForeName>James M</ForeName>
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<RefSource>Int J Dermatol. 2007 Jun;46(6):662</RefSource>
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<DescriptorName UI="D012514" MajorTopicYN="N">Sarcoma, Kaposi</DescriptorName>
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<NumberOfReferences>21</NumberOfReferences>
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