Post-Radiation Angiosarcoma (PRA) of the Small Bowel: Report of a Case and Review of the Literature

Autor: Marco La Gatta, Noemi Zorzetti, Cinzia Baccaro, Cuoghi Manuela, Adele Fornelli, Vincenzo Cennamo, Giuseppe Giovanni Navarra
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Surgeries, Vol 4, Iss 3, Pp 381-390 (2023)
Druh dokumentu: article
ISSN: 2673-4095
DOI: 10.3390/surgeries4030038
Popis: Angiosarcoma is a rare and aggressive neoplasia of endothelial cells which represents only 2% of all soft-tissue tumors and frequently occurs in the skin and subcutaneous tissues. It is classified in two groups: the first is represented by primary angiosarcoma, which includes cutaneous and breast angiosarcoma; the second is constituted by secondary angiosarcoma, which is related to radiation therapy, lymphedema, exposure to some chemical toxins, and familiar syndromes. Post-radiation intestinal angiosarcoma is a special type of secondary angiosarcoma, and only a few cases have been reported in the literature. We present a case of radiation-induced small bowel angiosarcoma in an 88-year-old female patient who was admitted to our department for abdominal pain and signs of intestinal obstruction. Her clinical history included previous radiotherapy treatments after a hysterectomy for uterine fibroids, excision of the vaginal stump for squamous cell carcinoma, and the surgical removal of a left-leg cutaneous angiosarcoma. She underwent emergency surgery, and features of peritoneal carcinomatosis were detected. A histological examination showed the presence of a small intestinal angiosarcoma. At the histochemical analysis, MYC amplification was detected, suggesting that her small bowel angiosarcoma was related to past radiation treatments.
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