Case Report

Primary Angiosarcoma of the Spleen: A Case Report and Review of the Literature

Authors: KENT McGINLEY MD, PAUL GOOGE MD, WAHID HANNA MD, JOHN BELL MD

Abstract

ABSTRACT: We describe a 47-year-old man with shoulder pain, multiple bony lesions, and a 1-cm lesion in the spleen. T-l facetectomy revealed a poorly differentiated malignant neoplasm. Several months after chemotherapy, multiple splenic lesions were found by computed tomography and liver-spleen scan. A splenectomy showed a malignant spindle-cell neoplasm forming irregular vascular spaces. Tumor cells were positive for factor VIII-related antigen and vimentin. This patient died of extensive metastases from this primary angiosarcoma of the spleen. Splenic angiosarcoma is a rare neoplasm that often has a cryptic presentation and a dismal prognosis.

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References