An Aggressive Approach to an Aggressive Malignancy

Abstract

Angiosarcomas are rare neoplasms of the head and neck region accounting for less than 1% of malignancies. The median survival after diagnosis varies from eleven to twenty months. The authors present a case of angiosarcoma that was difficult to diagnose at initial presentation. After initial diagnosis and treatment, the patient developed regional metastasis (parotid gland/neck) at three months, femoral head metastasis at two and one-half years, and liver metastasis at five years. These occurrences were treated aggressively. The patient is now almost seven years postpresentation and apparently disease-free and working full time.

Use of Intraoperative Indocyanine Green Videoangiography to Guide Cutaneous Angiosarcoma Excision

“… 2 Poor prognostic indicators include positive excision margins, lesions >5 cm in size, and high histopathologic grade. 3 The commonest treatment is wide excision with adjuvant radiotherapy.…”