Splenic angiosarcoma metastasis to small bowel presented with gastrointestinal bleeding |
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Authors: | Hsu Jun-Te Lin Chin-Yew Wu Ting-Jun Chen Han-Ming Hwang Tsann-Long Jan Yi-Yin |
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Affiliation: | 1. Department of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan, China 2. Department of Pathology, Chang Gung Memorial Hospital, Keelung, Taiwan, China |
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Abstract: | Primary splenic angiosarcoma is a very rare, aggressive neoplasm with a high metastatic rate and dismal prognosis. This neoplasm usually presents with abdominal pain, splenomegaly, anemia, and thrombocytopenia. Splenic angiosarcoma with bleeding gastrointestinal metastases is extremely rare. The literature contains only two case reports. This study reported a 44-year-old male patient with splenic angiosarcoma with sustained repeated gastrointestinal bleeding due to small bowel metastases. Salvage surgery was performed by splenectomy and resection of the metastatic small bowel tumors. The post-operative course was uneventful; the patient survived with the disease and had no GI bleeding, 7 mo after surgery. |
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Keywords: | Gastrointestinal bleeding Metastasis Small bowel Splenectomy Splenic angiosarcoma |
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