Primary splenic angiosarcoma diagnosed after splenectomy for spontaneous rupture
Barış Özcan1, Metin Çevener2, Ayşegül Odabaşı Kargı3, Hilmi Dikici4, Akın Yıldız5, Mustafa Özdoğan3, Alihan Gürkan6
1Department of General Surgery, Medstar Antalya Hospital, Antalya, Turkey
2Department of Radiology, Medstar Antalya Hospital, Antalya, Turkey
3Department of Medical Oncology, Medstar Antalya Hospital, Antalya, Turkey
4Department of Gastroenterology, Medstar Antalya Hospital, Antalya, Turkey
5Department of Nuclear Medicine, Medstar Antalya Hospital, Antalya, Turkey
6Department of General Surgery, Memorial Antalya Hospital, Antalya, Turkey
Abstract
Primary splenic angiosarcoma is a rare abnormality and has a bad prognosis. It has unknown pathogenesis. This abnormality is usually presented by splenic rupture. Surgery is the most promising treatm Surgery is the most accepted and accurate method for diagnosis and treatment. Surgery before rupture increases the life expectancy. A 65-year-old woman who presented to the emergency room with abdominal pain, abdominal distension, and anemia was found to have a splenic mass and massive ascites. After getting a hemorrhagic sample from the abdomen, the patient was operated with splenic rupture prediagnosis. The spleen material was reported as splenic angiosarcoma. The staging 18F-FDG-Positron Emission Tomography-Computed Tomography did not show any metastasis. Five months later, paclitaxel treatment was initiated upon liver and bone metastasis, and the treatment still continues. Splenic angiosarcoma has a place among splenic parenchymal lesions. The splenectomy material names the diagnosis. Pathologic examination of splenectomy material is revealed certain diagnosis.
Keywords: Primary splenic angiosarcoma, imaging, spontaneous splenic rupture, splenectomy
This study was presented at the 21th National Cancer Congress, 26 April 2015, Antalya, Turkey.
Cite this paper as: Özcan B, Çevener M, Odabaşı Kargı A, Dikici H, Yıldız A, Özdoğan M, Gürkan A. Primary splenic angiosarcoma diagnosed after splenectomy for spontaneous rupture. Turk J Surg 2018; 10.5152/turkjsurg.2017.3207
Written informed consent was obtained from patient who participated in this study.
Externally peer-reviewed.
Concept - B.Ö., A.G.; Design - B.Ö.; Supervision - A.Y., A.G.; Resource - M.Ç., B.Ö.; Materials - H.D., B.Ö.; Data Collection and/or Processing - B.Ö., M.Ç., A.O.K.; Analysis and/or Interpretation - B.Ö., A.Y., M.Ç.; Literature Search - B.Ö., A.O.K.; Writing Manuscript - B.Ö., A.G., A.O.K.; Critical Reviews - A.Y., M.Ö.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.