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Correction: Post-recurrence management of malignant glial brain tumors: therapeutic strategies, evidence and limitations, palliative care, terminal sedation, and end-of-life considerations.

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Primary central nervous system angiosarcoma with recurrent acute subdural hematoma.

Marc Valera-Melé1, Juan Vicente Darriba Allés1, Fernando Ruiz Juretschke1

  • 1Department of Neurosurgery, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo 46, 28007 Madrid, Spain.

Neurocirugia (English Edition)
|March 26, 2021
PubMed
Summary

Primary central nervous system angiosarcoma is a rare, aggressive tumor. This case highlights its rapid progression and lethal complications, emphasizing the need for aggressive treatment like gross-total resection and adjuvant therapy.

Keywords:
AngiosarcomaCentral nervous systemHematoma subduralRecurrenceRecurrenciaSistema nervioso centralSubdural hematoma

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Area of Science:

  • Neuro-oncology
  • Surgical Pathology

Background:

  • Angiosarcoma is a rare sarcoma, infrequently presenting as a primary tumor within the central nervous system (CNS).
  • CNS angiosarcomas can cause rapid neurological decline and are associated with a poor prognosis.

Observation:

  • A case report of a 41-year-old male with a right frontal enhancing hemorrhagic lesion.
  • Initial surgery confirmed primary CNS angiosarcoma; the patient received adjuvant chemotherapy and radiotherapy.
  • A 5-month follow-up MRI revealed relapse with two lesions and acute subdural hematoma.

Findings:

  • Histopathological examination confirmed primary CNS angiosarcoma.
  • Tumoral membranes attached to the dura mater were found during the second surgery.
  • The patient succumbed to recurrent subdural hematoma due to tumor recurrence.

Implications:

  • This case underscores the aggressive nature and potential for lethal complications of primary CNS angiosarcoma.
  • Gross-total resection combined with adjuvant radiotherapy appears to be the optimal therapeutic strategy.
  • Further research into effective treatments for this rare and aggressive CNS malignancy is warranted.