Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes

Abstract Background Cutaneous angiosarcoma (AS) of the head and neck is a rare highly aggressive tumor, often associated with difficult local control of the disease and poor prognosis. This article describes a case of multifocal cutaneous AS of the scalp, mainly addressing its difficult surgical man...

Full description

Bibliographic Details
Main Authors: Henrique Messias, Mariluz Martins, Carlos Zagalo, Pedro Gomes
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1659
_version_ 1828103809646198784
author Henrique Messias
Mariluz Martins
Carlos Zagalo
Pedro Gomes
author_facet Henrique Messias
Mariluz Martins
Carlos Zagalo
Pedro Gomes
author_sort Henrique Messias
collection DOAJ
description Abstract Background Cutaneous angiosarcoma (AS) of the head and neck is a rare highly aggressive tumor, often associated with difficult local control of the disease and poor prognosis. This article describes a case of multifocal cutaneous AS of the scalp, mainly addressing its difficult surgical management and challenging reconstruction and concludes with a review of the literature. Methods A 70‐year‐old Caucasian male was referred to our hospital with a growing scalp lesion initially suspected to be benign, but later diagnosed with AS. Results The patient had tumor recurrence and a difficult reconstruction for which dermal substitutes proved very useful. Conclusion AS can mimic a benign lesion in its early stages. Skin substitutes, namely dermal templates, can be useful to meet the complex needs of reconstruction and oncological surveillance of patients with AS.
first_indexed 2024-04-11T09:31:22Z
format Article
id doaj.art-818dffd9d4804cd48742d28b6544a8c8
institution Directory Open Access Journal
issn 2573-8348
language English
last_indexed 2024-04-11T09:31:22Z
publishDate 2022-10-01
publisher Wiley
record_format Article
series Cancer Reports
spelling doaj.art-818dffd9d4804cd48742d28b6544a8c82022-12-22T04:31:52ZengWileyCancer Reports2573-83482022-10-01510n/an/a10.1002/cnr2.1659Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutesHenrique Messias0Mariluz Martins1Carlos Zagalo2Pedro Gomes3Head and Neck Surgery Department Portuguese Institute of Oncology Francisco Gentil Lisbon PortugalHead and Neck Surgery Department Portuguese Institute of Oncology Francisco Gentil Lisbon PortugalHead and Neck Surgery Department Portuguese Institute of Oncology Francisco Gentil Lisbon PortugalHead and Neck Surgery Department Portuguese Institute of Oncology Francisco Gentil Lisbon PortugalAbstract Background Cutaneous angiosarcoma (AS) of the head and neck is a rare highly aggressive tumor, often associated with difficult local control of the disease and poor prognosis. This article describes a case of multifocal cutaneous AS of the scalp, mainly addressing its difficult surgical management and challenging reconstruction and concludes with a review of the literature. Methods A 70‐year‐old Caucasian male was referred to our hospital with a growing scalp lesion initially suspected to be benign, but later diagnosed with AS. Results The patient had tumor recurrence and a difficult reconstruction for which dermal substitutes proved very useful. Conclusion AS can mimic a benign lesion in its early stages. Skin substitutes, namely dermal templates, can be useful to meet the complex needs of reconstruction and oncological surveillance of patients with AS.https://doi.org/10.1002/cnr2.1659sarcomacutaneous angiossarcomahead and neckscalpdermal substitute
spellingShingle Henrique Messias
Mariluz Martins
Carlos Zagalo
Pedro Gomes
Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
Cancer Reports
sarcoma
cutaneous angiossarcoma
head and neck
scalp
dermal substitute
title Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
title_full Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
title_fullStr Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
title_full_unstemmed Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
title_short Multifocal cutaneous angiosarcoma of the scalp—A challenging reconstructive case managed with skin substitutes
title_sort multifocal cutaneous angiosarcoma of the scalp a challenging reconstructive case managed with skin substitutes
topic sarcoma
cutaneous angiossarcoma
head and neck
scalp
dermal substitute
url https://doi.org/10.1002/cnr2.1659
work_keys_str_mv AT henriquemessias multifocalcutaneousangiosarcomaofthescalpachallengingreconstructivecasemanagedwithskinsubstitutes
AT mariluzmartins multifocalcutaneousangiosarcomaofthescalpachallengingreconstructivecasemanagedwithskinsubstitutes
AT carloszagalo multifocalcutaneousangiosarcomaofthescalpachallengingreconstructivecasemanagedwithskinsubstitutes
AT pedrogomes multifocalcutaneousangiosarcomaofthescalpachallengingreconstructivecasemanagedwithskinsubstitutes