Summary:Complete excision of cutaneous angiosarcoma, which is a rare, vascular, and aggressive tumor, is challenging. Its multifocal nature and propensity for lateral spread make the gross assessment of surgical margins difficult. Neither the use of frozen section analysis nor Mohs surgery consistently improves the probability of margin-free excision. Recent studies have advocated the use of indocyanine green to evaluate the vascular system perioperatively. We describe the intraoperative use of indocyanine green to help define the excision margin of a locally extensive scalp angiosarcoma in an elderly man.
Introduction: Peliosis hepatis and splenosis is a rare disease. Most patients are asymptomatic. Spontaneous hemoperitoneum can be the clinical presentation due to rupture of the involved organs. Case Report: A 73yearold male had sequential spontaneous rupture of the liver and spleen resulting from hemoperitoneum because of peliosis hepatis and splenosis. Details of the clinical presentation, operative approach and management were described. Conclusion: The incidence, pathogenesis, clinical presentations and treatment options of peliosis hepatis and splenosis were discussed.
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