Angiosarcoma of the scalp: a case report
نویسندگان
چکیده
PURPOSE The aim of this paper is to report the treatment of angiosarcoma of the scalp. High-dose-rate (HDR) brachytherapy with an individual mold applicator is presented. CASE DESCRIPTION A case of a 75-year-old male will be presented with multicentric lesions over the scalp in the temple and crown region. Biopsy diagnosis was angiosarcoma of the scalp, nonoperable. The patient was qualified for chemotherapy combined with radiotherapy. DISCUSSION Angiosarcoma of the scalp is a very aggressive tumor. The main aim of the treatment of angiosarcoma is local control of the tumor. Most cases are treated with wide excision surgery. The use of surgery with adjuvant radiotherapy or chemotherapy is recommended in some cases. Chemotherapy and radiotherapy are suggested in the recurrent or extensive lesions with regional or distant metastasis. Radiation therapy can be realized with external beam therapy or brachytherapy. High-dose-rate brachytherapy is an effective, adequate, well tolerated by patients treatment method. In every case, an individual approach is needed. CONCLUSIONS The HDR brachytherapy technique is useful and practicable. The advantages of brachytherapy are: targeted dose distribution, low integral dose, and short time of treatment. The mold HDR brachytherapy treatment using an individual applicator was an appropriate tool for the presented patient.
منابع مشابه
Dermoscopy rainbow pattern as a diagnostic clue for early angiosarcoma
Angiosarcomas of the scalp are aggressive invasive tumors that, more often than not, mimic benign painless skin lesions. We here report a case of angiosarcoma that was timely diagnosed and treated thanks to the dermoscopic rainbow pattern.
متن کاملAngiosarcoma Presenting with Spontaneous Hydropneumothorax: Report of a Case and Review of the Literature
Angiosarcoma is a rare malignant tumor of soft tissue. Because angiosarcoma originates from endothelial cells, it can occur in any organ and shows aggressive clinical features. Most commonly, angiosarcoma initially presents as a cutaneous lesion. Lung metastasis from scalp angiosarcoma can develop pneumothorax. We report a case of multiorgan involvement of an angiosarcoma, including the scalp, ...
متن کاملExsanguinating Hemorrhage during Open Biopsy in a Primary Breast Angiosarcoma: A Case Report
Angiosarcomas are endothelial cell neoplasms in the lining of the blood vessel wall and account for about 0.04% of all breast malignancies with a high rate of error in primary diagnosis. The breast angiosarcoma is a rare and uncommon pathology and has been described mostly as case reports. Indeed, only a limited number of cases have been published. Accordingly, the natural history of this tumor...
متن کاملAngiosarcoma of the Scalp Presenting in Association With Borderline Malignant Phyllodes Tumour of the Breast
Phyllodes tumours and angiosarcoma are both rare mesenchymal tumours. There are no reports of their coexistence in the literature except in families with germline p53 mutations. Here we report a case of an elderly woman who developed an extensive angiosarcoma of the scalp nearly 4 years after surgical removal of a borderline malignant phyllodes tumour of the breast. The scalp lesion was initial...
متن کاملLipedematous Scalp: A Case Report
Lipedematous scalp (LS) and Lipedematous Alopecia (LA) are uncommon disorders of unknown etiology, pathogenesis and treatment. They are characterized by thickening of the subcutaneous layer of the scalp and a boggy scalp on palpation. Also, hair loss or shortening of hair is seen in LA. In this report, we describe LS in a 42-year-old woman presented with a diffuse thickened and spongy scalp. To...
متن کاملScalp Angiosarcoma Remission with Bevacizumab and Radiotherapy without Surgery: A Case Report and Review of the Literature
Angiosarcoma (AS) is a rare and aggressive vascular neoplasm with very poor prognosis. Patients with extensive cutaneous AS who are not surgical candidates have very limited options since there is no standard treatment. Treatment options include radiation, chemotherapy, and angiogenesis inhibitor with varying success rates. Here, we report a case an 88 year old patient with extensive scalp angi...
متن کامل