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Primary central nervous system angiosarcoma: A case report and literature review
Authors:Marco Schiariti  Morgan Broggi  Emanuela Maderna  Bianca Pollo  Raffaele Nunziata  Elio Maccagnano  Paolo Ferroli
Affiliation:1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy;2. Division of Neuropathology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy;3. Department of Neuroradiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Abstract:
Angiosarcoma is a rare vascular malignant neoplasm that mainly occurs in skin and soft tissues. Intracranial localization is very rare and only a few cases have been reported. This report intends to present the clinical, radiological and pathological pictures of a primary central nervous system angiosarcoma along with a review of the literature. A 35‐year‐old woman presented at our institution with weakness and sensory disturbances of her right hand. Neuroimaging revealed a roughly round, hemorrhagic and moderately enhancing lesion in the left frontal posterior region. The tumor was totally removed under awake anesthesia and continuous monitoring of motor and language functions. Histopathology revealed an epithelioid angiosarcoma. Radical removal, followed by adjuvant radiotherapy and chemotherapy, is able to completely control the disease for a relatively long period.
Keywords:brain angiosarcoma  central nervous system tumor  neurosurgery  survival  treatment
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