Angiosarcoma in the chest

Piciucchi, Sara; Dubini, Alessandra; Tomassetti, Sara; Sanna, Stefano; Ravaglia, Claudia; Carloni, Angelo; Gurioli, Carlo; Colby, Thomas V.; Poletti, Venerino

doi:10.1097/md.0000000000005348

Cited by 10 publications

(11 citation statements)

References 21 publications

(38 reference statements)

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“…In other DPLDs, patients without an overt fibrosing component, but with an acute or subacute behavior, including those with a major reduction in lung function, a definite diagnosis by TBCB can be achieved. In fact, cases with a final morphological diagnosis of organizing pneumonia, nonspecific interstitial pneumonia, diffuse alveolar damage, capillaritis, intravascular lymphoma, infections, and acute/subacute rejection have been reported; TBCB may also be helpful in patients with suspected hypersensitivity pneumonitis and equivocal exposure [25,[47][48][49].…”

Section: Methodsmentioning

confidence: 99%

Transbronchial Cryobiopsies for the Diagnosis of Diffuse Parenchymal Lung Diseases: Expert Statement from the Cryobiopsy Working Group on Safety and Utility and a Call for Standardization of the Procedure

et al. 2018

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Transbronchial cryobiopsies (TBCB) have recently been introduced as a promising and safer alternative to surgical lung biopsy in the diagnostic approach to diffuse parenchymal lung diseases (DPLD). Despite a substantial and expanding body of literature, the technique has not yet been standardized and its place in the diagnostic algorithm of DPLD remains to be defined. In part, this reflects concerns over the diagnostic yield and safety of the procedure, together with the rapid spread of the technique without competency and safety standards; furthermore, there is a substantial procedural variability among centers and interventional pulmonologists. We report this expert statement proposed during the third international conference on “Transbronchial Cryobiopsy in Diffuse Parenchymal Lung Disease” (Ravenna, October 27–28, 2016), which formulates evidence- and expert-based suggestions on the indications, contraindications, patient selection, and procedural aspects of the procedure. The following 5 domains were reviewed: (1) what is the role of TBCB in the diagnostic evaluation of DPLD: patient selection; (2) pathological considerations; (3) contraindications and safety considerations; (4) how should TBCB be performed and in what procedural environment; and (5) who should perform TBCB. Finally, the existence of white paper recommendations may also reassure local hospital credentialing committees tasked with endorsing an adoption of the technique.

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Section: Methodsmentioning

confidence: 99%

Transbronchial Cryobiopsies for the Diagnosis of Diffuse Parenchymal Lung Diseases: Expert Statement from the Cryobiopsy Working Group on Safety and Utility and a Call for Standardization of the Procedure

et al. 2018

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“…[ 14 , 15 ] Furthermore, PET\CT scans are fundamental to differentiate these entities since angiosarcomas [ 13 , 15 ] are FDG avid. [ 16 , 17 ]…”

Section: Case Discussionmentioning

confidence: 99%

Hepatic angiosarcomatous transformation of a mediastinal germinal cell tumor

Corrias¹,

Escalon

Tang

et al. 2017

Medicine

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Rationale:Mediastinal nonseminomatous germ cell tumor (NSGCT) is an uncommon entity. Metastatic hepatic sarcomatous transformation is rare.Patient concerns:We report a 24-year-old man with no previous related medical history presented with chest pain and left arm numbness.Diagnoses:The x-ray showed an anterior mediastinal mass. The chest computed tomography (CT) confirmed the presence of a mildly enhancing mass in the same location, without invasion of any vascular structure. A CT-guided biopsy was performed, revealing a primary mediastinal nonseminomatous germ cell tumor (NSGCT), yolk sac histology, with areas of somatic transformation to malignant nerve sheath tumor. After surgery patient was followed-up with imaging. Two years later a CT scan showed a new hepatic hyper vascular lesion, confirmed by a subsequent magnetic resonance imaging (MRI) and positron emission tomography (PET) scan. A CT-guided biopsy revealed a hepatic metastatic transformation to angiosarcoma of the primitive NSGCT.Interventions:The patient went on to received palliative chemotherapy.Outcomes:The patient is being followed-up regularly at the outpatient department.Lessons:Because of the potential of metastatic sarcoma arising from germ cell tumors, these patients should undergo periodical follow-up, with periodical scans. PET\CT scan might have a role in the follow-up of these patients.

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“…Primary cardiac angiosarcoma is a rare tumor and the common treatment is surgical resection followed by chemotherapy. [ 1 ] PICCs are commonly used in cancer patients, with a relatively low rate of procedure-related trauma, bleeding, and bloodstream infection. [ 3 ] Ultrasound-guided PICC insertion could also improve success rate of catheter insertion in patient with ipsilateral cardiac permanent pacemaker.…”

Section: Discussionmentioning

confidence: 99%

“…Angiosarcomas are rare malignant vascular tumor, which are treated by tumor resection and chemotherapy. [ 1 , 2 ] Peripherally inserted central catheters (PICCs) have been demonstrated to be a widely used intravascular access for chemotherapy in cancer patients. [ 3 , 4 ] The increasing demand for these devices has led to the development of nursing-based venous access teams who specialize in the bedside placement of PICCs.…”

Section: Introductionmentioning

confidence: 99%

A successful insertion of PICC in patient with cardiac angiosarcoma and neoplasty of right atrium and pacemaker

Liu

Sun²,

Wang³

2017

Medicine

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Introduction:Primary cardiac angiosarcoma is a rare tumor and the common treatment is surgical resection followed by chemotherapy. Peripherally inserted central venous catheters (PICCs) are widely used in cancer patients and ultrasound-guided PICC insertion could improve success rate especially in patient with abnormal anatomy structure. Reports about PICCs being placed in patient who had suffered from the cardiac angiosarcoma and neoplasty of right atrium with an ipsilateral cardiac permanent pacemaker are rarely.After patient's informed consent, we present a case of the successful insertion of PICC into a patient with the ipsilateral cardiac disease with a pacemaker placement, which has not been previously reported.Conclusions:This report highlights PICC could be used in patient with cardiac disease with a pacemaker placement for chemotherapy.

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Angiosarcoma in the chest

Cited by 10 publications

References 21 publications

Transbronchial Cryobiopsies for the Diagnosis of Diffuse Parenchymal Lung Diseases: Expert Statement from the Cryobiopsy Working Group on Safety and Utility and a Call for Standardization of the Procedure

Transbronchial Cryobiopsies for the Diagnosis of Diffuse Parenchymal Lung Diseases: Expert Statement from the Cryobiopsy Working Group on Safety and Utility and a Call for Standardization of the Procedure

Hepatic angiosarcomatous transformation of a mediastinal germinal cell tumor

A successful insertion of PICC in patient with cardiac angiosarcoma and neoplasty of right atrium and pacemaker

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