» Articles » PMID: 37500188

Recurrent Metastatic Angiosarcoma Presenting As Kasabach-Merritt Syndrome

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2023 Jul 27
PMID 37500188
Authors
Affiliations
Soon will be listed here.
Abstract

Angiosarcoma is an incredibly rare type of malignancy, accounting for only 1%-2% of all soft-tissue sarcomas globally. It is clinically, pathologically and radiologically difficult to diagnose angiosarcoma owing to its varied presentation with little or no well-defined imaging findings.Kasabach-Merritt syndrome is also a lesser-heard entity which carries extremely poor prognosis. It is primarily seen in infants with vascular malformations and in kaposiform haemangioendothelioma. It is a condition of consumptive coagulopathy and only few of the cases have been reported so far in the adults with a background of angiosarcoma.This report presents the case of a male in his 70s who was diagnosed with metastatic angiosarcoma and experienced a complicated disease course due to Kasabach-Merritt syndrome.

References
1.
Morgan E, Kozono D, Wang Q, Mery C, Butrynski J, Baldini E . Cutaneous radiation-associated angiosarcoma of the breast: poor prognosis in a rare secondary malignancy. Ann Surg Oncol. 2012; 19(12):3801-8. DOI: 10.1245/s10434-012-2563-4. View

2.
Salameh F, Henig I, Bar-Shalom R, Maza I . Metastatic angiosarcoma of the scalp causing Kasabach-Merritt syndrome. Am J Med Sci. 2007; 333(5):293-5. DOI: 10.1097/MAJ.0b013e318053e1e5. View

3.
Ji Y, Chen S, Zhou J, Yang K, Zhang X, Xiang B . Sirolimus plus prednisolone vs sirolimus monotherapy for kaposiform hemangioendothelioma: a randomized clinical trial. Blood. 2022; 139(11):1619-1630. DOI: 10.1182/blood.2021014027. View

4.
ORafferty C, ORegan G, Irvine A, Smith O . Recent advances in the pathobiology and management of Kasabach-Merritt phenomenon. Br J Haematol. 2015; 171(1):38-51. DOI: 10.1111/bjh.13557. View

5.
Grellety T, Italiano A . Angiosarcoma associated with a Kasabach-Merritt syndrome: report of two cases treated with paclitaxel. Future Oncol. 2013; 9(9):1397-9. DOI: 10.2217/fon.13.109. View