Hostname: page-component-7bb8b95d7b-qxsvm Total loading time: 0 Render date: 2024-10-06T11:20:26.306Z Has data issue: false hasContentIssue false

Angiosarcoma of the head and neck

Published online by Cambridge University Press:  29 June 2007

Salah El-Sharkawi*
Affiliation:
Department of Oncology, Singleton Hospital, Swansea, UK.
*
Address for correspondence: Dr Salah El-Sharkawi, 6 Northway Court, Bishopston, Swansea SA3 3JZ.

Abstract

Angiosarcoma of the head and neck is a rare tumour of vascular origin that affects the elderly. A 74-year-old man who presented with bruise-like macules of the scalp and face is reported. He was treated for a few months with different antibiotics and anti-allergic medication by his own family doctor, and referred for specialist opinion when he failed to derive any benefits from the medications. A biopsy was obtained from the lesion and proved to be an angiosarcoma. A review of the literature indicates that the most important prognostic factor in this particular disease is the size of the lesion on presentation, hence the importance of early diagnosis. This case is reported, and the literature for similar cases is reviewed, to highlight the diagnostic and therapeutic aspects of this uncommon aggressive tumour in an attempt to help in the process of early diagnosis.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hodgkinson, D. J., Soule, E. H., Woods, J. E. (1979) Cutaneous angiosarcomas of the head and neck. Cancer 44: 11061113.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Holden, C. A., Spittle, M. F., Wilson Jones, E. (1987) Angiosarcoma of the face and scalp, prognosis and treatment. Cancer 59: 10461057.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Kinard, J. D., Zwicker, R. D., Schmidt-Ullrich, R. K., Kaufman, N., Pieters, R. (1996) Total craniofacial photon shell technique for radiotherapy of extensive angiosarcomas of the head. British Journal of Radiology 69: 351355.CrossRefGoogle ScholarPubMed
Maddox, J. C., Evans, J. L. (1981) Angiosarcoma of the skin and soft tissue. Cancer 48: 19071921.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Morrison, W. H., Byers, R. M., Garden, A. S., Evans, H. L., Kian Ang, K., Peters, L. J. (1995) Cutaneous angiosarcoma of the head and neck. Cancer 76: 319327.3.0.CO;2-8>CrossRefGoogle ScholarPubMed
Rosai, J. S., Major, M. C., Kostianovsky, M., Perez-Mesa, C. (1976) Angiosarcoma of the skin. Human Pathology 7(1): 83109.Google Scholar
Sagar, S. M., Pujara, C. M. (1992) Radical treatment of angiosarcoma of the scalp using megavoltage electron beam therapy. British Journal of Radiology 65: 421424.CrossRefGoogle ScholarPubMed
Wanebo, H. J., James, K. R., MacFarlane, J. K., Eilber, F. R., Byers, R. M., George Elias, E., Spiro, R. H. (1992) Head and neck sarcoma. Head and Neck 14: 17.CrossRefGoogle ScholarPubMed
Wilson Jones, E. (1964) Malignant angioendothelioma of the skin. British Journal of Dermatology 76: 2139.CrossRefGoogle Scholar