Disseminated Angiosarcoma of the Dialysis Fistula in 2 Patients Without Kidney Transplants

Chanyaputhipong, Jendana; Hock, Dennis Lim Teck; Sebastian, Mathew

doi:10.1053/j.ajkd.2010.12.024

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…Angiosarcomas have also been reported in hemodialysis patients who have not received a transplant [201*]. Inert foreign material can induce inflammation that might lead to the development of sarcomas, including angiosarcomas [202].…”

Section: Interpretations From Case Literature Reviewmentioning

confidence: 99%

Sarcomas other than Kaposi sarcoma occurring in immunodeficiency

Bhatia

Shiels

Berg

et al. 2012

Current Opinion in Oncology

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Section: Interpretations From Case Literature Reviewmentioning

confidence: 99%

Sarcomas other than Kaposi sarcoma occurring in immunodeficiency

Bhatia

Shiels

Berg

et al. 2012

Current Opinion in Oncology

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“…Characteristics of 29 angiosarcoma case reports [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] including ours in HD or post-renal transplant patients are summarized in Table 2 (Italics text in Table 2 indicates items that apply to our case). There were many complaints of pain or a mass, as in our case.…”

Section: Discussionmentioning

confidence: 99%

Axillary arterial angiosarcoma in a nonfunctioning arteriovenous fistula limb of a patient undergoing hemodialysis: case report with literature review

et al. 2019

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A 54-year-old man was admitted to our hospital with a painful left axillary mass. He had a 27-year history of hemodialysis for end-stage kidney disease because of chronic glomerulonephritis. He had a right radial artery-cephalic vein arteriovenous fistula and left nonfunctioning arteriovenous fistula. Computed tomography imaging showed a left axillary arterial mass with peripheral hematoma and multiple lung tumors. On hospital day 3, he showed disturbances in consciousness as well as enlargement of the axillary mass and hematoma. We performed emergency surgery to resect the left axillary tumor. The patient was diagnosed with angiosarcoma upon histopathological examination of the resected specimen on hospital day 15. Because his condition was extremely poor, we provided supportive care to him, not chemotherapy. He expired on hospital day 25. Angiosarcoma remains a rare disease; however, this case highlights the importance of including angiosarcoma in the differential diagnosis for upper extremity pain in patients undergoing hemodialysis.

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“…In patients with end-stage renal failure a high proportion of case reports have a renal transplant who are likely to be at higher risk due to the immune suppression required [2]. However, there appears to be a predilection for angiosarcoma in AV fistulae that is separate from iatrogenic immunosuppression [3–5]. The cause for this is unknown, although a number of potential theories have been propounded [5].…”

Section: Discussionmentioning

confidence: 99%

Multi-system bleeding risk with a cutaneous angiosarcoma at an arteriovenous fistula site

Heining

Senior

Prasad

et al. 2018

Oxford Medical Case Reports

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We present a case of angiosarcoma at an arteriovenous fistula site in a non-immunocompromised patient presenting as a soft tissue swelling with associated findings suggestive of lung malignancy, metastases and bleeding diathesis. This patient died of an otherwise unexplained subdural haematoma. Given the ability of this tumour to metastasise early and the poor prognosis of angiosarcoma without adequate resection, this needs to be considered early in any differential diagnosis of soft tissue masses near an arteriovenous fistula.

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Disseminated Angiosarcoma of the Dialysis Fistula in 2 Patients Without Kidney Transplants

Cited by 9 publications

References 10 publications

Sarcomas other than Kaposi sarcoma occurring in immunodeficiency

Sarcomas other than Kaposi sarcoma occurring in immunodeficiency

Axillary arterial angiosarcoma in a nonfunctioning arteriovenous fistula limb of a patient undergoing hemodialysis: case report with literature review

Multi-system bleeding risk with a cutaneous angiosarcoma at an arteriovenous fistula site

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