Article Text
Summary
Angiosarcomas account for only 1–2% of all soft tissue sarcomas, with the most common site of origin being in the head and neck region. Peritoneal angiosarcoma is an extremely rare tumour and few cases have been reported previously. Presentation of peritoneal angiosarcoma can be very variable, hence making diagnosis difficult. Herein, we review the current literature and describe a rare case of a patient who presented with haemorrhagic ascites, 17 years after radiotherapy for endometrial carcinoma and was subsequently diagnosed with peritoneal angiosarcoma. Due to extensive disease, surgery was not a viable option. She was started on palliative chemotherapy, but despite treatment, her condition deteriorated further and she eventually passed away. We highlight the diagnostic challenges and considerations in these patients as well as current treatment and management options available.
- Surgical oncology
- Cancer intervention
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Footnotes
Contributors MT and GHCT contributed to the conception and design, acquisition of data, analysis and interpretation of data, and revised the article critically for important intellectual content. CJS contributed to the acquisition of data or analysis and interpretation of data, drafting the article and revising it critically for important intellectual content. SML contributed to the data analysis and interpretation of data, drafting the article and revising it critically for important intellectual content. All authors approved the final version published and agree to be accountable for the article and ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.
Acknowledgement to Dr Kesavan s/o Sittampalam (Department of Pathology, Singapore General Hospital) for providing the histopathological images and the accompanied description.
Competing interests None declared.
Patient consent Not obtained.
Provenance and peer review Not commissioned; externally peer reviewed.