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Published on: February 28, 2019
Angiosarcoma of the nasal cavity: a case report
José Luis Treviño-González1, Ramiro Santos-Lartigue, Baltazar González-Andrade
1Otolaryngology Head and Neck Surgery Service, Hospital Universitario "Dr, José Eleuterio González", Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo León, México. jltrevino@lycos.com.
Abstract:
Angiosarcomas are malignant neoplasias of rapid growth that develop from endothelial cells. They represent 2% of all sarcomas and only 1-4% are located in the aerodigestive tract. Since 1977, only 16 cases have been reported.We present a 33-year-old male with spontaneous epistaxis that was refractory to cauterization. During physical examination, a smooth purplish tumor of 1.5 cm x 1.5 cm was identified. A CT scan showed a nonenhanced tumor in the left nostril on the uncinate process. A biopsy revealed an intermediate-grade angiosarcoma. Surgical removal followed by radiation therapy was performed with good result. Aerodigestive angiosarcomas have a better prognosis than angiosarcomas of other locations due to better cell differentiation and the presence of early symptoms. Recurrence can occur because of tumor tissue left during resection. Our patient continues tumor free after three years.
