首页> 中文期刊> 《生物医学研究杂志(英文版)》 >Angiosarcomatous component in gliosarcoma: case report and consideration of diagnostic challenge and hemorrhagic propensity

Angiosarcomatous component in gliosarcoma: case report and consideration of diagnostic challenge and hemorrhagic propensity

         

摘要

An angiosarcomatous component in gliosarcoma may be associated with an increased intraoperative hemorrhagic risk and preoperative diagnostic challenge. We report a unique case of gliosarcoma with an angiosarcomatous component in a 61-year-old man. His brain MRI demonstrated a well-demarcated right occipital tumor with multiple flow voids and rim-like enhancement as well as intratumoral strip and nodular enhancements. He underwent a craniotomy for tumor resection. Intraoperatively, significant tumor hemorrhage required greater efforts to control intraoperative bleeding and to maintain hemostasis. Pathological examination of the tumor revealed alternating gliomatous and sarcomatous/angiosarcomatous components with intratumoral hemorrhage. He was postoperatively treated with chemoradiation. The tumor recurred at 9 months, for which the second resection was performed with similarly greater efforts to achieve hemostasis. The recurrent tumor was pathologically similar despite treatment-associated changes. Awareness of this angiosarcomatous component in gliosarcoma with the hemorrhagic risk is important for both the preoperative diagnosis and surgical management.

著录项

  • 来源
    《生物医学研究杂志(英文版)》 |2020年第2期|143-148|共6页
  • 作者单位

    Department of Radiology McMaster University/Hamilton Health Sciences Hamilton Ontario L8L 2X2 Canada;

    Department of Radiology McMaster University/Hamilton Health Sciences Hamilton Ontario L8L 2X2 Canada;

    Department of Surgery/Neurosurgery McMaster University/Hamilton Health Sciences Hamilton Ontario L8L 2X2 Canada;

    Department of Pathology and Molecular Medicine/Neuropathology McMaster University/Hamilton Health Sciences Hamilton Ontario L8L 2X2 Canada;

  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 颅内肿瘤及脑肿瘤;
  • 关键词

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