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Related Experiment Videos

Angiosarcoma arising in a chronically lymphoedematous leg

S A Sinclair1, L Sviland, S Natarajan

  • 1Department of Dermatology, Royal Victoria Infirmary, Newcastle upon Tyne, U.K.

The British Journal of Dermatology
|June 26, 1998
PubMed
Summary
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A rare, aggressive cutaneous angiosarcoma developed in an 86-year-old woman with chronic leg lymphedema. This aggressive cancer of endothelial cells led to rapid decline and death within five months.

Area of Science:

  • Oncology
  • Dermatology
  • Vascular Biology

Background:

  • Cutaneous angiosarcoma is a rare, aggressive vascular tumor originating from endothelial cells.
  • It commonly presents on the head, neck, or extremities as papules or nodules.
  • Chronic lymphedema is a known, albeit uncommon, risk factor for angiosarcoma development.

Observation:

  • An 86-year-old woman with a 40-year history of chronic immobility-related lymphedema of the right leg presented with a leg tumor.
  • The tumor manifested as a plaque on the lower leg and foot, with satellite lesions on the knee and groin.
  • Initially, satellite lesions were mistaken for petechial hemorrhages but rapidly grew into tumor nodules.

Findings:

  • Histological examination confirmed moderately to poorly differentiated angiosarcoma in all tumor specimens.

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  • The angiosarcoma arose in the context of long-standing, unilateral lymphedema.
  • No preceding malignancy or prior operative intervention to the affected limb was identified.
  • Implications:

    • This case highlights a rare presentation of cutaneous angiosarcoma.
    • It underscores the importance of considering angiosarcoma in patients with chronic lymphedema, particularly when lesions appear unusual or rapidly change.
    • The aggressive nature of this tumor necessitates prompt diagnosis and management, as evidenced by the patient's rapid decline.