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CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 118-121
DOI: 10.1055/s-0039-1699326
Case Report
Association of Plastic Surgeons of India

Angiosarcoma of the scalp

Manjiri DasGupta
Department of Surgery, K.J. Somaiya Medical College and Hospital, Sion, Mumbai - 400 022, India
,
Nilay Chakrabarti
Department of Surgery, K.J. Somaiya Medical College and Hospital, Sion, Mumbai - 400 022, India
,
Pravin Agrawal
Department of Surgery, K.J. Somaiya Medical College and Hospital, Sion, Mumbai - 400 022, India
,
Swati Narurkar
Department of Surgery, K.J. Somaiya Medical College and Hospital, Sion, Mumbai - 400 022, India
› Author Affiliations
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Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

Angiosarcoma is a relatively rare soft tissue tumour. It usually occurs in the head and neck, and especially in the scalp, in elderly people. Its presentation varies from a small plaque to multifocal nodules. The treatment depends on the extent of the disease. Most cases are treated with wide excision with reconstruction. Radiotherapy and chemotherapy are advocated in the recurrent or extensive lesions with regional or distant metastasis. Other modalities such as immunomodulation have been tried. A case of a 55-year-old female patient with a bleeding scalp lesion is presented. Initially thought to be a pyogenic granuloma, on excisional biopsy it was diagnosed as angiosarcoma with microscopic involvement of the margins. Wide excision with reconstruction using a local rotation flap was done at a second stage. The patient was not given postoperative radiotherapy or chemotherapy. There has been no recurrence for two years.

KEY WORDS

Angiosarcoma - Malignant angioendothelioma - Malignant hemangioendothelioma of scalp
 

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