Use of Intraoperative Indocyanine Green Videoangiography to Guide Cutaneous Angiosarcoma Excision
Wai Shan Ko1, Teresa Tan1, Kevin W L Mo1
1Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong.
Plastic and Reconstructive Surgery. Global Open
|August 19, 2016
Summary
Complete excision of aggressive cutaneous angiosarcoma is difficult due to its spread. Intraoperative indocyanine green (ICG) helps define surgical margins for better tumor removal in angiosarcoma patients.
Area of Science:
- Oncology
- Surgical Oncology
- Vascular Tumors
Background:
- Cutaneous angiosarcoma is a rare, aggressive vascular tumor.
- Complete surgical excision is challenging due to multifocal nature and lateral spread.
- Standard margin assessment techniques like frozen section analysis and Mohs surgery have limitations.
Observation:
- Perioperative indocyanine green (ICG) has been suggested for vascular system evaluation.
- A case of locally extensive scalp angiosarcoma in an elderly man is presented.
- ICG was used intraoperatively to guide the excision margin.
Findings:
- Indocyanine green (ICG) facilitated the intraoperative definition of surgical margins.
- This approach aids in achieving complete tumor excision for challenging angiosarcoma cases.
- The use of ICG can potentially improve outcomes in managing cutaneous angiosarcoma.
Implications:
- Intraoperative indocyanine green (ICG) may be a valuable tool for improving surgical success in cutaneous angiosarcoma.
- This technique could enhance the ability to achieve margin-free excisions.
- Further research is warranted to validate the efficacy of ICG in angiosarcoma management.
