Angiosarcoma radiation-induced C44.-

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Angiosarcoma of the breast region; angiosarcoma postradiation; radiation-induced angiosarcoma

Definition
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Highly malignant vascular tumor occurring in thoracic and abdominal radiation fields.

Manifestation
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Middle-aged, women mainly affected.

Localization
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Mamma.

Clinical features
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Rapidly growing tumour with firm, red or reddish-brown papules and nodes, appearing 1-10 years after irradiation. Metastasis: haematogen. Radiation-induced angiosarcoma must be distinguished from the pseudomalignant "atypical vascular lesion".

Histology
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Formation of bizarre, labyrinth-like, irregularly dilated, lymphatic vessels with protuberant or freely floating endothelial proliferates (lymphatic-endothelial immune phenomenon type: podoplanin positive) Significant nuclear polymorphism of the endothelia. The proliferation factor Ki-67 is significantly increased. Cytogenetic: MYK expression.

Differential diagnosis
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Therapy
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Excision by specialists.

Progression/forecast
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Very bad. Life expectancy < 2 years.

Literature
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  1. Chow W et al (2015) Growth Attenuation of Cutaneous Angiosarcoma With Propranolol-Mediated β blockade. JAMA Dermatol 151: 1226-1229.
  2. Cornejo KM et al. (2015) The utility of MYC and FLT4 in the diagnosis and treatment of postradiation atypical vascular lesion and angiosarcoma of the breast. Hum Pathol 46: 868-875.
  3. Grebić D et al (2015) Sporadic Case of Breast Angiosarcoma as a Complication of Radiotherapy Following Breast-Conserving Surgery for Invasive Ductal Breast Cancer. Breast Care (Basel) 10: 336-338.
  4. Rallabandi HB et al (2016) Postradiation angiosarcoma of bladder with extensive osseous metaplasia. Indian J Pathol Microbiol 59:78-80.
  5. Zatloukal A et al (2016) Secondary angiosarcoma of the abdominal wall after adjuvant radiotherapy in a patient with uterine carcinoma - a case report. Rozhl Surgeon 95:131-133.

Outgoing links (2)

Excision; Radiodermatitis chronic;

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Last updated on: 29.10.2020