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Updated: Jul 4, 2026

Three-Dimensional Bone Extracellular Matrix Model for Osteosarcoma
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Multi-focal, multi-centric angiosarcoma of bone.

E Kakouri1, J S Whelan, S Coltart

  • 1The London Soft Tissue & Bone Tumour Service The Meyerstein Institute of Oncology The Middlesex Hospital Mortimer Street London W1N 8AA UK.

Sarcoma
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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This case study describes a rare, multi-focal angiosarcoma of bone in a 55-year-old man. Despite doxorubicin treatment, the patient succumbed to pulmonary thromboembolism.

Area of Science:

  • Oncology
  • Vascular Biology
  • Pathology

Background:

  • Angiosarcoma is a rare malignant vascular tumor.
  • Bone angiosarcomas are exceptionally rare, often presenting with aggressive behavior.
  • Multi-focal and multi-centric presentations are uncommon.

Purpose of the Study:

  • To describe a unique case of multi-focal, multi-centric angiosarcoma of bone.
  • To detail the clinical, radiological, and histological features of this rare entity.
  • To discuss the treatment response and outcome.

Main Methods:

  • Case report of a 55-year-old male patient.
  • Clinical presentation with pain and weight loss.
  • Radiological imaging (lytic lesions in long bones and pelvis).

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  • Histopathological examination with immunohistochemistry (CD31, CD34, von Willebrand factor).
  • Assessment of response to radiotherapy and doxorubicin chemotherapy.
  • Main Results:

    • Diagnosis of a predominantly low-grade angiosarcoma with focal intermediate-grade areas.
    • Tumor cells expressed endothelial markers CD31, CD34, and von Willebrand factor.
    • Rapid radiological progression despite radiotherapy.
    • Temporary pain relief with doxorubicin.
    • Death due to pulmonary thromboembolism 14 days after chemotherapy initiation.

    Conclusions:

    • Multi-focal angiosarcoma of bone is an aggressive malignancy with a poor prognosis.
    • Immunohistochemistry is crucial for diagnosing vascular tumors.
    • Treatment options remain limited, and complications like thromboembolism are significant concerns.