Metastatic angiosarcoma of the scalp presented as posttraumatic subgaleal hematoma: The many faces of a diagnostic challenge
<p dir="ltr"><a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/angiosarcoma" target="_blank">Angiosarcomas</a> represent highly-aggressive malignant lesions of the <a href="https://www.sciencedirect.com/topics/medicine-and-de...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , |
| منشور في: |
2021
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| الملخص: | <p dir="ltr"><a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/angiosarcoma" target="_blank">Angiosarcomas</a> represent highly-aggressive malignant lesions of the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/endothelial-cell" target="_blank">endothelial cells</a> of blood vessels, affecting mostly the elderly population, and usually located in the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/scalp" target="_blank">scalp</a> or face. As cutaneous angiosarcomas often metastasize to the lung, they can manifest in various forms. We report a case of a 77-year-old male who presented after a posttraumatic blunt scalp lump that was initially diagnosed as infected subgaleal hematoma. This was later found to be an angiosarcoma. Further workup revealed that the tumor was invading the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/dura-mater" target="_blank">dura</a>, with a rare pattern of mixed concomitant cystic and solid <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lung-metastasis" target="_blank">lung metastasis</a> with ground-glass infiltrates. The patient underwent soft tissue reconstruction with split-thickness skin graft for the scalp lesion and palliative chemotherapy. We are discussing the common manifestations of scalp angiosarcomas and their potential pulmonary metastatic patterns. Also, a review of the differential diagnoses that may mimic cutaneous scalp angiosarcoma will be demonstrated.</p><h2>Other Information</h2><p dir="ltr">Published in: Radiology Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.radcr.2021.06.083" target="_blank">https://dx.doi.org/10.1016/j.radcr.2021.06.083</a></p> |
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