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Lower Extremity Angiosarcoma: A Life-Threatening Complication of Lymphedema.

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May 2024

At Mayo Clinic, Rochester, Minnesota, USA, Vishal Garimella, MBBS, and Nimay Anand, BA, are Visiting Research Fellows; Elliott H. Campbell, MD, is Dermatology Resident Physician; and Christian L. Baum, MD, and Afsaneh Alavi, MD, are Professors of Dermatology. Acknowledgments: Afsaneh Alavi is on the Board of Directors for the Hidradenitis Suppurativa Foundation and served as a consultant for AbbVie, Almirall, Boehringer Ingelheim, InflaRx, Incyte, Kymera, Novartis, and UCB and investigator for Boehringer Ingelheim, and Processa. The authors have disclosed no other financial relationships related to this article. Submitted January 10, 2023; accepted in revised form June 16, 2023.

Article Synopsis
  • * The symptoms of angiosarcoma can vary widely, presenting as anything from bleeding spots to larger masses, which may eventually lead to serious complications like ulceration.
  • * Treatment requires a comprehensive approach involving surgery, radiation, and chemotherapy, and there is currently limited research on lower limb cases, prompting the need for healthcare providers to consider angiosarcoma in patients with lymphedema-related symptoms.
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Article Synopsis
  • Composite haemangioendothelioma is a rare vascular tumor that can exhibit low to medium malignant potential and is diagnosed by identifying different vascular components through histopathology.
  • A case study describes a 49-year-old man with chronic lymphoedema who developed this tumor, which showed high-grade angiosarcoma-like features but behaved less aggressively, confusing it with the more severe Stewart-Treves syndrome.
  • Despite needing potentially extensive surgery (hemipelvectomy), the patient opted against it and, after two years of monitoring, experienced no disease progression, indicating the need for accurate diagnosis to avoid unnecessary procedures.
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