Recurrence of scalp angiosarcoma after multiple surgeries: A case report and literature review

Li,Dongjian; Sun,Zhiguo; Ma,Ling; Liu,Shaohua

doi:10.3892/ol.2023.14122

Recurrence of scalp angiosarcoma after multiple surgeries: A case report and literature review

Authors:
- Dongjian Li
- Zhiguo Sun
- Ling Ma
- Shaohua Liu
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Affiliations: Department of Clinical Medicine, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, P.R. China, Department of Clinical Medicine, Yanggu County Central Hospital, Liaocheng, Shandong 252300, P.R. China, Department of Plastic and Burn Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China, Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China
Published online on: October 31, 2023 https://doi.org/10.3892/ol.2023.14122
Article Number: 536

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Abstract

Scalp angiosarcoma (SA) is rare, accounting for <1% of soft tissue sarcomas, with a high degree of malignancy, a high recurrence rate and a poor prognosis. The best treatment strategy is uncertain. Therefore, it is essential to continuously refine treatment strategies and improve the prognosis of patients. Curative‑intent surgery increases overall survival in patients with primary cutaneous angiosarcoma of the scalp and face, and radiation therapy combined with chemotherapy is now recommended for the curative treatment of patients who both can or cannot undergo surgery. The present case report is of an 87‑year‑old man hospitalised for the fifth time with SA. He had experienced four recurrences and previously underwent curative‑intent surgery four times. However, the patient did not undergo radiotherapy or chemotherapy after any of the surgeries. A detailed report of the management of this case is presented along with a review of the relevant literature. It is hypothesised that patients with SA should receive a combination of radiotherapy and chemotherapy after surgery whenever possible, which may improve patient prognosis.

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