| Autor: |
Jiyun Lim, Seong Sook Hong, Jiyoung Hwang, Hyun-joo Kim, So-Young Jin |
| Jazyk: |
English<br />Korean |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
대한영상의학회지, Vol 83, Iss 2, Pp 432-438 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2288-2928 |
| DOI: |
10.3348/jksr.2021.0064 |
| Popis: |
Colonic angiosarcoma is an extremely rare and aggressive malignant tumor with poor prognosis. We report a case of colonic epithelioid angiosarcoma with colonic obstruction and rapidly progressive hepatic metastasis in a 44-year-old female. Abdominal CT revealed a heterogeneously enhancing irregular mass in the ascending colon, causing proximal bowel distension. The patient underwent surgery, and histopathological examination revealed a poorly differentiated carcinoma. A follow-up liver dynamic MRI after 4 months revealed newly developed diffusely scattered numerous small nodules in both hepatic lobes with peripheral and nodular marked arterial hyperenhancement, raising the suspicion of hepatic angiosarcoma. A pathologic second opinion was obtained, and additional immunohistochemistry revealed colonic epithelioid angiosarcoma. The patient showed progressive hepatic metastasis on follow-up abdominal CT after 6 months and died 8 months after initial diagnosis. We describe an educational case of colonic angiosarcoma, a rare malignant tumor, with rapidly progressive hepatic metastasis that showed radiologic findings suggestive of angiosarcoma and enabled a re-diagnosis for proper treatment and prognosis prediction. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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