Angiosarcoma of the scalp

Angiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excisi...

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Main Authors: Gupta Manjiri, Chakrabarti Nilay, Agrawal Pravin, Narurkar Swati
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2009-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=118;epage=121;aulast=Gupta
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author Gupta Manjiri
Chakrabarti Nilay
Agrawal Pravin
Narurkar Swati
author_facet Gupta Manjiri
Chakrabarti Nilay
Agrawal Pravin
Narurkar Swati
author_sort Gupta Manjiri
collection DOAJ
description Angiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excision with reconstruction. Radiotherapy and chemotherapy are advocated in the recurrent or extensive lesions with regional or distant metastasis. Other modalities such as immunomodulation have been tried. A case of a 55-year-old female patient with a bleeding scalp lesion is presented. Initially thought to be a pyogenic granuloma, on excisional biopsy it was diagnosed as angiosarcoma with microscopic involvement of the margins. Wide excision with reconstruction using a local rotation flap was done at a second stage. The patient was not given postoperative radiotherapy or chemotherapy. There has been no recurrence for two years.
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spelling doaj.art-c1586327417e45c78b6b66a1bbaa6c8a2022-12-22T01:48:48ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2009-01-01421118121Angiosarcoma of the scalpGupta ManjiriChakrabarti NilayAgrawal PravinNarurkar SwatiAngiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excision with reconstruction. Radiotherapy and chemotherapy are advocated in the recurrent or extensive lesions with regional or distant metastasis. Other modalities such as immunomodulation have been tried. A case of a 55-year-old female patient with a bleeding scalp lesion is presented. Initially thought to be a pyogenic granuloma, on excisional biopsy it was diagnosed as angiosarcoma with microscopic involvement of the margins. Wide excision with reconstruction using a local rotation flap was done at a second stage. The patient was not given postoperative radiotherapy or chemotherapy. There has been no recurrence for two years.http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=118;epage=121;aulast=GuptaAngiosarcoma; Malignant angioendothelioma; Malignant hemangioendothelioma of scalp
spellingShingle Gupta Manjiri
Chakrabarti Nilay
Agrawal Pravin
Narurkar Swati
Angiosarcoma of the scalp
Indian Journal of Plastic Surgery
Angiosarcoma; Malignant angioendothelioma; Malignant hemangioendothelioma of scalp
title Angiosarcoma of the scalp
title_full Angiosarcoma of the scalp
title_fullStr Angiosarcoma of the scalp
title_full_unstemmed Angiosarcoma of the scalp
title_short Angiosarcoma of the scalp
title_sort angiosarcoma of the scalp
topic Angiosarcoma; Malignant angioendothelioma; Malignant hemangioendothelioma of scalp
url http://www.ijps.org/article.asp?issn=0970-0358;year=2009;volume=42;issue=1;spage=118;epage=121;aulast=Gupta
work_keys_str_mv AT guptamanjiri angiosarcomaofthescalp
AT chakrabartinilay angiosarcomaofthescalp
AT agrawalpravin angiosarcomaofthescalp
AT narurkarswati angiosarcomaofthescalp