A diagnostic pitfall: Angiosarcoma of the brain mimicking cavernous angioma
| Autor: | Yasuo Tajima, Akira Matsuno, Tadashi Nagashima, Isamu Sugano |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Pathology
medicine.medical_specialty Hemangiosarcoma Autopsy Left frontal lobe Diagnosis Differential Hemangioma Lesion Angioma Physiology (medical) medicine Humans Angiosarcoma neoplasms Aged Cerebral Hemorrhage Brain Neoplasms business.industry General Medicine medicine.disease Magnetic Resonance Imaging Occult digestive system diseases Intracerebral hematoma Hemangioma Cavernous Neurology Female Surgery Neurology (clinical) medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Journal of Clinical Neuroscience. 12:688-691 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2004.08.028 |
| Popis: | Primary or secondary angiosarcoma in the central nervous system is rarely reported. We present a rare case of cerebral angiosarcoma, which comprised both poorly-differentiated solid areas and well-differentiated areas that led to the misdiagnosis of cavernous angioma. A 79-year old woman presented with an intracerebral hematoma in the left frontal lobe that was misdiagnosed as a hemorrhage from a cavernous angioma at initial operation. At a second surgery, the lesion was diagnosed as angiosarcoma involving the cerebellum, heart, femur, sacro-iliac bones and other locations. An autopsy suggested that the angiosarcoma of the heart was the primary lesion, which was occult at the time of the initial operation. Angiosarcoma may have areas with different degrees of differentiation and when a cavernous angioma is suspected histopathologically, the specimen should also be carefully explored for poorly-differentiated areas and the diagnosis of primary or secondary angiosarcoma considered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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