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Spleen Rupture Due to Primary Angiosarcoma: A Case Report

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Abstract

A case of a 79-year-old female with rupture of the spleen due to primary angiosarcoma is presented. Symptoms were non-specific. Diagnosis was based on histology postoperatively. Primary angiosarcoma of the spleen is a very rare and aggressive neoplasm with a high metastatic rate and almost uniformly fatal. Due to small number of reported cases, there are no guidelines concerning adjuvant or palliative treatment or any beneficial protocols of chemotherapy or radiotherapy up to date. Splenectomy prior to rupture seems to have a positive impact on long-term survival.

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References

  1. Langhans T. Pulsating cavernous neoplasm of the spleen with metastatic nodules to the liver. Virchows Arch Pathol Anat. 1879;75:273–91.

    Google Scholar 

  2. Naka N, Ohsawa M, Tomita Y, et al. Prognostic factors in angiosarcoma: a multivariate analysis of 55 cases. J Surg Oncol. 1996;61:170–6. doi:10.1002/(SICI)1096-9098(199603)61:3<170::AID-JSO2>3.0.CO;2-8.

    Article  PubMed  CAS  Google Scholar 

  3. Neuhauser TS, Derringer GA, Thompson LD, et al. Splenic angiosarcoma: a clinicopathologic and immunophenotypic study of 28 cases. Mod Pathol. 2000;13:978–87. doi:10.1038/modpathol.3880178.

    Article  PubMed  CAS  Google Scholar 

  4. Falk S, Krishnan J, Meis JM. Primary angiosarcoma of the spleen: a clinicopathologic study of 40 cases. Am J Surg Pathol. 1993;17:959–70. doi:10.1097/00000478-199310000-00001.

    Article  PubMed  CAS  Google Scholar 

  5. Autry JR, Weitzner S. Hemangiosarcoma of spleen with spontaneous rupture. Cancer. 1975;35:534–9. doi:10.1002/1097-0142(197502)35:2<534::AID-CNCR2820350236>3.0.CO;2-4.

    Article  PubMed  CAS  Google Scholar 

  6. Smith VC, Eisenberg BL, McDonald EC. Primary splenic angiosarcoma: case report and literature review. Cancer. 1985;55:1625–7. doi:10.1002/1097-0142(19850401)55:7<1625::AID-CNCR2820550736>3.0.CO;2-W.

    Article  PubMed  CAS  Google Scholar 

  7. Maier A, Bataille F, Krenz D, Anthuber M. Ein Angiosarkom als seltene Differenzialdiagnose der spontanen Milzruptur. Chirurg. 2004;75:70–4. doi:10.1007/s00104-003-0733-4.

    Article  PubMed  CAS  Google Scholar 

  8. Villedieu Poignant S, Mermet L, Bousquet A, Dupont P. Une cause rare d’ hemoperitoine spontane. Rev Med Interne. 2000;21:809–11. doi:10.1016/S0248-8663(00)00231-9.

    Article  PubMed  CAS  Google Scholar 

  9. Mahony B, Jeffrey RB, Federle MP. Spontaneous rupture of hepatic and splenic angiosarcoma demonstrated by CT. Am J Roentgenol. 1982;138:965–6.

    CAS  Google Scholar 

  10. Mayir B, Colak T, Dinckan A. Spontaneous spleen rupture due to primary splenic angiosarcoma: a case report. Ulus Travma Acil Cerrahi Derg. 2007;13(4):313–5.

    PubMed  Google Scholar 

  11. Muzi MG, Rulli F, Federico F. Angiosarcoma of the spleen mimicking rupture: a case report and literature review. Acta Biomed Ateneo Parmense. 2000;71:135–40.

    PubMed  CAS  Google Scholar 

  12. Castaldi M, White N, Kirstein L, Bizer L, Wang Q. Simultaneous, spontaneous rupture of the liver and spleen. Surgical Rounds, www.surgicalroundsonline.com/issues/articles/2006-02-03.asp, accessed October 2007.

  13. Hsu J-T, Chen H-M, Lin C-Y, et al. Primary angiosarcoma of the spleen. J Surg Oncol. 2005;92:312–6. doi:10.1002/jso.20419.

    Article  PubMed  Google Scholar 

  14. Ghani M, Coughlin BF, Hickey KL, et al. Angiosarcoma: unusual cause of acute abdominal pain and hemoperitoneum. Emerg Radiol. 2000;7:308–11. doi:10.1007/PL00011847.

    Article  Google Scholar 

  15. Khan MI, Medhat O, Bonnet G. Angiosarcoma in father and son: a case report and literature review. NZMJ. 2004;117:1203–7.

    Google Scholar 

  16. Vrachliotis TG, Bennet WF, Vaswani KK, et al. Primary angiosarcoma of the spleen-CT, MR, and sonographic characteristics: report of two cases. Abdom Imaging. 2000;25:283–5. doi:10.1007/s002610000034.

    Article  PubMed  CAS  Google Scholar 

  17. Thompson WM, Levy AD, Aguilera NS, et al. Angiosarcoma of the spleen: imaging characteristics in 12 patients. Radiology. 2005;235:106–15. doi:10.1148/radiol.2351040308.

    Article  PubMed  Google Scholar 

  18. Delacruz V, Jorda M, Gomez-Fernandez C, et al. Fine-needle aspiration diagnosis of angiosarcoma of the spleen: a case report and review of the literature. Arch Pathol Lab Med. 2005;129(8):1054–6.

    PubMed  Google Scholar 

  19. Lal A, Ariga R, Gatusso P, Nemcek A, Nayar R. Splenic fine-needle aspiration and core biopsy: a review of 49 cases. Acta Cytol. 2003;47:951–9.

    PubMed  Google Scholar 

  20. Hai SA, Genato R, Gressel I, et al. Primary splenic angiosarcoma: case report and literature review. J Natl Med Assoc. 2000;92(3):143–6.

    PubMed  CAS  Google Scholar 

  21. Montemayor P, Caggiano V. Primary angiosarcoma of the spleen associated with leukocytosis and abnormal spleen scan. Int Surg. 1980;65:369–73.

    PubMed  CAS  Google Scholar 

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Correspondence to Panagiotis Z. Tsiaousis.

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Koutelidakis, I.M., Tsiaousis, P.Z., Papaziogas, B.T. et al. Spleen Rupture Due to Primary Angiosarcoma: A Case Report. J Gastrointest Canc 38, 74–77 (2007). https://doi.org/10.1007/s12029-008-9034-y

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  • DOI: https://doi.org/10.1007/s12029-008-9034-y

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