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[Superselective feeder embolization for hemorrhage from cutaneous angiosarcoma in scalp].
Nobuyuki Hirotsune1, Kinya Terada, Toshinari Meguro
1Department of Neurological Surgery, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima City, Hiroshima 730-8518, Japan. hiro.ns@city-hosp.naka.hiroshima.jp
No Shinkei Geka. Neurological Surgery
|October 15, 2005
Summary
A scalp angiosarcoma presented as a hemorrhagic nodule post-trauma. Transarterial embolization followed by surgical excision effectively controlled bleeding, highlighting the importance of early diagnosis for improved survival in this rare cancer.
Area of Science:
- Oncology
- Vascular Surgery
- Dermatology
Background:
- Angiosarcoma is a rare and aggressive malignant vascular tumor.
- Head trauma can be a precipitating factor in some cutaneous angiosarcoma cases.
- Hemorrhagic nodules on the scalp require prompt investigation.
Observation:
- A 76-year-old male presented with a hemorrhagic nodule and a purple-red macule on the scalp after head trauma.
- Histological examination confirmed the diagnosis of angiosarcoma.
- The tumor exhibited significant bleeding.
Findings:
- Transarterial feeder embolization was performed, followed by surgical excision.
- The combined treatment effectively controlled tumor bleeding.
- Superselective catheterization was crucial for targeting the specific tumor vessels.
Implications:
- Early diagnosis of scalp angiosarcoma, potentially by neurosurgeons, is critical.
- Multidisciplinary treatment involving interventional radiology and surgery offers effective management.
- Timely intervention can improve patient survival rates for this aggressive malignancy.