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[Cutaneous angiosarcoma of the head: three cases].
1Service de Chirurgie Maxillo-Faciale, Stomatologie et Plastique de la Face, Centre Hospitalier Lyon-Sud, 165, Chemin du Grand Revoyet, 69495 Pierre-Bénite, France.
Summary
Cutaneous angiosarcoma of the head is rare. Surgical intervention and long-term monitoring are crucial for managing this condition, with latissimus dorsi flap potentially offering a cure.
Area of Science:
- Oncology
- Dermatology
- Surgical Oncology
Background:
- Cutaneous angiosarcoma (CAS) of the head is a rare and aggressive vascular tumor.
- Early diagnosis and effective treatment are critical for patient outcomes.
Observation:
- This report details three cases of head CAS: two women with scalp tumors and one man with a frontal facial tumor.
- One woman experienced recurrence post-surgery and received palliative care; the other had three recurrences, achieving disease-free status after a latissimus dorsi free flap graft.
- The male patient underwent surgery and radiotherapy, developing regional lymph node metastasis five years later, but is now disease-free after further surgery and radiotherapy.
Findings:
- Wide surgical excision is essential for treating head CAS.
- The latissimus dorsi free flap is a viable reconstructive option that can lead to successful cure in recurrent cases.
- Long-term follow-up is critical for detecting and managing potential recurrences or metastasis.
Implications:
- Aggressive surgical management combined with vigilant surveillance improves prognosis for head CAS.
- Advanced reconstructive techniques, such as the latissimus dorsi free flap, can be crucial for achieving long-term disease control.
- Further research into the optimal treatment strategies for cutaneous angiosarcoma of the head is warranted.