Case report: a case of primary intracranial parasagittal meningeal angiosarcoma

Abstract Background Angiosarcoma, also known as malignant hemangioendothelioma, is a rare vasogenic malignant tumor, commonly found on the skin of the head and neck, rarely occurring in the intracranial region. As for intracranial meningeal angiosarcoma, only 8 cases have been reported before and th...

Full description

Bibliographic Details
Main Authors: Jun Cao, Jincheng Fang, Xiaochun Jiang, Guangfu Di, Jun Shen
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Diagnostic Pathology
Subjects:
Online Access:https://doi.org/10.1186/s13000-023-01389-7
_version_ 1797578527201034240
author Jun Cao
Jincheng Fang
Xiaochun Jiang
Guangfu Di
Jun Shen
author_facet Jun Cao
Jincheng Fang
Xiaochun Jiang
Guangfu Di
Jun Shen
author_sort Jun Cao
collection DOAJ
description Abstract Background Angiosarcoma, also known as malignant hemangioendothelioma, is a rare vasogenic malignant tumor, commonly found on the skin of the head and neck, rarely occurring in the intracranial region. As for intracranial meningeal angiosarcoma, only 8 cases have been reported before and there is no clinical study with large sample size. We report here a case of parasagittal meningeal angiosarcoma. Case description A 48-year-old Chinese male patient was admitted to our hospital due to headache accompanied by bilateral lower limb weakness. On admission, CT showed a high-density mass on both sides of the sagittal sinus at the top of the frontal lobe. We performed exploratory surgical resection of the tumor. During the operation, it was found that the tumor originated from the dura mater and extensively invaded the surrounding brain tissue and skull, and the surrounding hemosiderin deposition was observed. Postoperative pathology suggested angiosarcoma. Conclusions Intracranial meningeal angiosarcoma is difficult to accurately diagnose before surgery, so radiologists and neurosurgeons need to strengthen their understanding of this disease. The presence of extensive superficial hemosiderin deposition during operation may contribute to the diagnosis, and immunohistochemistry is very important for the diagnosis of intracranial angiosarcoma.
first_indexed 2024-03-10T22:23:08Z
format Article
id doaj.art-49319d3163e5405bb5164f0862129e33
institution Directory Open Access Journal
issn 1746-1596
language English
last_indexed 2024-03-10T22:23:08Z
publishDate 2023-09-01
publisher BMC
record_format Article
series Diagnostic Pathology
spelling doaj.art-49319d3163e5405bb5164f0862129e332023-11-19T12:12:19ZengBMCDiagnostic Pathology1746-15962023-09-011811610.1186/s13000-023-01389-7Case report: a case of primary intracranial parasagittal meningeal angiosarcomaJun Cao0Jincheng Fang1Xiaochun Jiang2Guangfu Di3Jun Shen4Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)Department of Neurosurgery, the First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College)Abstract Background Angiosarcoma, also known as malignant hemangioendothelioma, is a rare vasogenic malignant tumor, commonly found on the skin of the head and neck, rarely occurring in the intracranial region. As for intracranial meningeal angiosarcoma, only 8 cases have been reported before and there is no clinical study with large sample size. We report here a case of parasagittal meningeal angiosarcoma. Case description A 48-year-old Chinese male patient was admitted to our hospital due to headache accompanied by bilateral lower limb weakness. On admission, CT showed a high-density mass on both sides of the sagittal sinus at the top of the frontal lobe. We performed exploratory surgical resection of the tumor. During the operation, it was found that the tumor originated from the dura mater and extensively invaded the surrounding brain tissue and skull, and the surrounding hemosiderin deposition was observed. Postoperative pathology suggested angiosarcoma. Conclusions Intracranial meningeal angiosarcoma is difficult to accurately diagnose before surgery, so radiologists and neurosurgeons need to strengthen their understanding of this disease. The presence of extensive superficial hemosiderin deposition during operation may contribute to the diagnosis, and immunohistochemistry is very important for the diagnosis of intracranial angiosarcoma.https://doi.org/10.1186/s13000-023-01389-7Meningeal tumorParasagittal angiosarcomaImmunohistochemistrySurgeryTreatment
spellingShingle Jun Cao
Jincheng Fang
Xiaochun Jiang
Guangfu Di
Jun Shen
Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
Diagnostic Pathology
Meningeal tumor
Parasagittal angiosarcoma
Immunohistochemistry
Surgery
Treatment
title Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
title_full Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
title_fullStr Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
title_full_unstemmed Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
title_short Case report: a case of primary intracranial parasagittal meningeal angiosarcoma
title_sort case report a case of primary intracranial parasagittal meningeal angiosarcoma
topic Meningeal tumor
Parasagittal angiosarcoma
Immunohistochemistry
Surgery
Treatment
url https://doi.org/10.1186/s13000-023-01389-7
work_keys_str_mv AT juncao casereportacaseofprimaryintracranialparasagittalmeningealangiosarcoma
AT jinchengfang casereportacaseofprimaryintracranialparasagittalmeningealangiosarcoma
AT xiaochunjiang casereportacaseofprimaryintracranialparasagittalmeningealangiosarcoma
AT guangfudi casereportacaseofprimaryintracranialparasagittalmeningealangiosarcoma
AT junshen casereportacaseofprimaryintracranialparasagittalmeningealangiosarcoma