A case of postirradiation angiosarcoma of the greater omentum with hemorrhage.

Autor: Sakemi M; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Sakemi R; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan. k-ikyoku@kyoaikai.com., Harada M; Third Department of Internal Medicine, University of Occupation and Environmental Health, Japan School of Medicine, Kitakyushu, Japan., So S; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Uchiyama D; Department of Radiology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Morimitsu Y; Division of Pathology, Tobato Kyoritsu Hospital, Kitakyushu, Japan., Kakiuchi S; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Ishihara Y; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Kubo Y; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Matsugaki S; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Ono T; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Takane J; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Sasaki E; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Shimokobe M; Department of Gastroenterology, Tobata Kyoritsu Hospital, 2-5-1, Sawami-machi, Tobata-ku, Kitakyushu, Fukuoka, 804-0093, Japan., Sata M; Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Jazyk: angličtina
Zdroj: Clinical journal of gastroenterology [Clin J Gastroenterol] 2011 Oct; Vol. 4 (5), pp. 302-306. Date of Electronic Publication: 2011 Jul 30.
DOI: 10.1007/s12328-011-0245-6
Abstrakt: Angiosarcoma, one of the least common sarcomas, occurs most commonly in the skin and soft tissues, and postirradiation angiosarcoma of the greater omentum is extremely rare. Only one reported case of postirradiation angiosarcoma involved the greater omentum. We describe the case of 74-year-old female with a history of cervical cancer treated with abdominal irradiation 5 years before. On admission, she had nausea, vomiting anorexia, and fatigue. She underwent an abdominal computed tomography scan that revealed an irregularly shaped tumor bounded by transverse colon. The patient died on the 34th hospital day. Autopsy revealed that the tumor was composed of anastomosing irregular vascular channels of variable calibers, involving the adipose tissue of the omentum. Histological studies suggested angiosarcoma. The definitive diagnosis was postirradiation angiosarcoma of the greater omentum, which is an extremely rare condition with an overall dismal prognosis.
Databáze: MEDLINE
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