Case report: a case of primary intracranial parasagittal meningeal angiosarcoma.
Immunohistochemistry
Meningeal tumor
Parasagittal angiosarcoma
Surgery
Treatment
Journal
Diagnostic pathology
ISSN: 1746-1596
Titre abrégé: Diagn Pathol
Pays: England
ID NLM: 101251558
Informations de publication
Date de publication:
16 Sep 2023
16 Sep 2023
Historique:
received:
07
12
2022
accepted:
03
09
2023
medline:
18
9
2023
pubmed:
17
9
2023
entrez:
16
9
2023
Statut:
epublish
Résumé
Angiosarcoma, also known as malignant hemangioendothelioma, is a rare vasogenic malignant tumor, commonly found on the skin of the head and neck, rarely occurring in the intracranial region. As for intracranial meningeal angiosarcoma, only 8 cases have been reported before and there is no clinical study with large sample size. We report here a case of parasagittal meningeal angiosarcoma. A 48-year-old Chinese male patient was admitted to our hospital due to headache accompanied by bilateral lower limb weakness. On admission, CT showed a high-density mass on both sides of the sagittal sinus at the top of the frontal lobe. We performed exploratory surgical resection of the tumor. During the operation, it was found that the tumor originated from the dura mater and extensively invaded the surrounding brain tissue and skull, and the surrounding hemosiderin deposition was observed. Postoperative pathology suggested angiosarcoma. Intracranial meningeal angiosarcoma is difficult to accurately diagnose before surgery, so radiologists and neurosurgeons need to strengthen their understanding of this disease. The presence of extensive superficial hemosiderin deposition during operation may contribute to the diagnosis, and immunohistochemistry is very important for the diagnosis of intracranial angiosarcoma.
Sections du résumé
BACKGROUND
BACKGROUND
Angiosarcoma, also known as malignant hemangioendothelioma, is a rare vasogenic malignant tumor, commonly found on the skin of the head and neck, rarely occurring in the intracranial region. As for intracranial meningeal angiosarcoma, only 8 cases have been reported before and there is no clinical study with large sample size. We report here a case of parasagittal meningeal angiosarcoma.
CASE DESCRIPTION
METHODS
A 48-year-old Chinese male patient was admitted to our hospital due to headache accompanied by bilateral lower limb weakness. On admission, CT showed a high-density mass on both sides of the sagittal sinus at the top of the frontal lobe. We performed exploratory surgical resection of the tumor. During the operation, it was found that the tumor originated from the dura mater and extensively invaded the surrounding brain tissue and skull, and the surrounding hemosiderin deposition was observed. Postoperative pathology suggested angiosarcoma.
CONCLUSIONS
CONCLUSIONS
Intracranial meningeal angiosarcoma is difficult to accurately diagnose before surgery, so radiologists and neurosurgeons need to strengthen their understanding of this disease. The presence of extensive superficial hemosiderin deposition during operation may contribute to the diagnosis, and immunohistochemistry is very important for the diagnosis of intracranial angiosarcoma.
Identifiants
pubmed: 37717004
doi: 10.1186/s13000-023-01389-7
pii: 10.1186/s13000-023-01389-7
pmc: PMC10504741
doi:
Substances chimiques
Hemosiderin
9011-92-1
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
104Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Gaballah AH, Jensen CT, Palmquist S, Pickhardt PJ, Duran A, Broering G, Elsayes KM. Angiosarcoma: clinical and imaging features from head to toe. Br J Radiol. 2017;90(1075):20170039. https://doi.org/10.1259/bjr.20170039 . (Epub 2017 May 4. PMID: 28471264; PMCID: PMC5594986).
doi: 10.1259/bjr.20170039
pubmed: 28471264
pmcid: 5594986
Gao M, Li P, Tan C, Liu J, Tie X, Pang C, Guo Z, Lin Y. Primary Central Nervous System Angiosarcoma. World Neurosurg. 2019;132:41–6. https://doi.org/10.1016/j.wneu.2019.08.128 . (Epub 2019 Aug 27 PMID: 31470162).
doi: 10.1016/j.wneu.2019.08.128
pubmed: 31470162
Mena H, Ribas JL, Enzinger FM, Parisi JE. Primary angiosarcoma of the central nervous system Study of eight cases and review of the literature. J Neurosurg. 1991;75(1):73–6. https://doi.org/10.3171/jns.1991.75.1.0073 . (PMID: 2045922).
doi: 10.3171/jns.1991.75.1.0073
pubmed: 2045922
Kirk IR, Dominguez R, Castillo M. Congenital primary cerebral angiosarcoma: CT, US, and MR findings. Pediatr Radiol. 1992;22(2):134–5. https://doi.org/10.1007/BF02011315 . (PMID: 1501943).
doi: 10.1007/BF02011315
pubmed: 1501943
Antoniadis C, Selviaridis P, Zaramboukas T, Fountzilas G. Primary angiosarcoma of the brain: case report. Neurosurgery. 1996;38(3):583–5; discussion 585-6. https://doi.org/10.1097/00006123-199603000-00033 . (PMID: 8837814).
doi: 10.1097/00006123-199603000-00033
pubmed: 8837814
Guode Z, Qi P, Hua G, Shangchen X, Hanbin W. Primary cerebellopontine angle angiosarcoma. J Clin Neurosci. 2008;15(8):942–6. https://doi.org/10.1016/j.jocn.2006.11.018 . (Epub 2008 Mar 7 PMID: 18314334).
doi: 10.1016/j.jocn.2006.11.018
pubmed: 18314334
Hackney JR, Palmer CA, Riley KO, Cure JK, Fathallah-Shaykh HM, Nabors LB. Primary central nervous system angiosarcoma: two case reports. J Med Case Rep. 2012;21(6):251. https://doi.org/10.1186/1752-1947-6-251 . (PMID:22909122;PMCID:PMC3459733).
doi: 10.1186/1752-1947-6-251
Sakai Y, Hirose T, Tomono A, Kawakami F, Nakai T, Ohbayashi C, Mizowaki T, Tanaka K, Kohmura E, Itoh T. Angiosarcoma arising in schwannoma of cerebellopontine angle and later associating with meningioma in a patient with neurofibromatosis type 2. Brain Tumor Pathol. 2014;31(4):293–8. https://doi.org/10.1007/s10014-014-0180-6 . (Epub 2014 Mar 6 PMID: 24599662).
doi: 10.1007/s10014-014-0180-6
pubmed: 24599662
Melguizo-Gavilanes I, Snipes G, Rodríguez-Márquez I, Duarte-Jurado L, Jaramillo-Jiménez E. Therapeutic options for primary meningeal angiosarcoma: A case report. Surg Neurol Int. 2020;25(11):204. https://doi.org/10.25259/SNI_533_2019 . (PMID:32874707;PMCID:PMC7451178).
doi: 10.25259/SNI_533_2019
Mhatre R, Kishan Prasad HL, Mathias M, Ragothaman A, Nandeesh BN. Case of primary dural epithelioid angiosarcoma with review of literature and differential diagnosis. Clin Neuropathol. 2021;40(4):189–94. https://doi.org/10.5414/NP301355 . (PMID: 33560217).
doi: 10.5414/NP301355
pubmed: 33560217
Kurian KM, Tagkalakis P, Erridge SC, Ironside JW, Whittle IR. Primary intracranial angiosarcoma of the Pineal gland: an unusual cause of recurrent intraventricular haemorrhage and superficial haemosiderosis. Neuropathol Appl Neurobiol. 2006;32(5):557–61. https://doi.org/10.1111/j.1365-2990.2006.00762.x . (PMID: 16972889).
doi: 10.1111/j.1365-2990.2006.00762.x
pubmed: 16972889
Suzuki Y, Yoshida YK, Shirane R, Yoshimoto T, Watanabe M, Moriya T. Congenital primary cerebral angiosarcoma. Case report J Neurosurg. 2000;92(3):466–8. https://doi.org/10.3171/jns.2000.92.3.0466 . (PMID: 10701536).
doi: 10.3171/jns.2000.92.3.0466
pubmed: 10701536
Hagiwara S, Miyazaki T, Ishikawa N, Nakagawa F, Maruyama R, Akiyama Y. Pyothorax-associated Angiosarcoma Metastasized to the Brain with Multiple and Progressively Expanding Hematomas: Case Report and Literature Review. Asian J Neurosurg. 2018;13(3):803–9. https://doi.org/10.4103/ajns.AJNS_250_16 . (PMID: 30283552; PMCID: PMC6159051).
doi: 10.4103/ajns.AJNS_250_16
pubmed: 30283552
pmcid: 6159051
De Young BR, Frierson HF Jr, Ly MN, Smith D, Swanson PE. CD31 immunoreactivity in carcinomas and mesotheliomas. Am J Clin Pathol. 1998;110(3):374–7. https://doi.org/10.1093/ajcp/110.3.374 . (PMID: 9728613).
doi: 10.1093/ajcp/110.3.374
pubmed: 9728613
Scholsem M, Raket D, Flandroy P, Sciot R, Deprez M. Primary temporal bone angiosarcoma: a case report. J Neurooncol. 2005;75(2):121–5. https://doi.org/10.1007/s11060-005-0375-0 . (PMID: 16132518).
doi: 10.1007/s11060-005-0375-0
pubmed: 16132518
Stacchiotti S, Palassini E, Sanfilippo R, Vincenzi B, Arena MG, Bochicchio AM, De Rosa P, Nuzzo A, Turano S, Morosi C, Dei Tos AP, Pilotti S, Casali PG. Gemcitabine in advanced angiosarcoma: a retrospective case series analysis from the Italian Rare Cancer Network. Ann Oncol. 2012;23(2):501–8. https://doi.org/10.1093/annonc/mdr066 . (Epub 2011 Apr 4 PMID: 21464156).
doi: 10.1093/annonc/mdr066
pubmed: 21464156
Teranishi Y, Hongou H, Miyawaki S, Saito N. Solitary fibrous tumor/hemangiopericytoma. No Shinkei Geka. 2022;50(1):141–9. https://doi.org/10.11477/mf.1436204539 . (Japanese. PMID: 35169094).
doi: 10.11477/mf.1436204539
pubmed: 35169094
Khan IS, Thakur JD, Ahmed O, Shorter CD, Thomas-Ogunniyl J, Kim MT, Jeroudi MA, Guthikonda B. Primary calvarial angiosarcoma: A case report and review of the literature. Surg Neurol Int. 2012;3:134. https://doi.org/10.4103/2152-7806.102952 . (Epub 2012 Oct 29. PMID: 23227439; PMCID: PMC3513847).
doi: 10.4103/2152-7806.102952
pubmed: 23227439
pmcid: 3513847