Primary hepatic angiosarcoma: A report of two cases and literature review.

World J Gastroenterol

Yi-Ping Zhu, Yi-Ping Mou, Guan-Yu Wang, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.

Published: May 2015

AI Article Synopsis

  • Primary hepatic angiosarcoma (PHA) is a rare and aggressive liver cancer with a generally poor survival rate, as illustrated by a study involving 1500 patients where only two were diagnosed with it.
  • Both studied patients who underwent a surgical procedure (hepatectomy) had limited postoperative survival times of 8 and 16 months.
  • The findings suggest that complete surgical resection should be the primary treatment for PHA, with the possibility of improving survival through additional chemotherapy after surgery; palliative chemotherapy may also be considered for more advanced cases.

Article Abstract

Primary hepatic angiosarcoma (PHA) is a rare malignancy that carries a poor prognosis. Of 1500 patients who underwent hepatectomy for primary hepatic tumors between 1994 and 2013 at our center, two patients were pathologically diagnosed with PHA. Clinical characteristics, treatment modalities, and outcomes of the two patients were collected and analyzed. Both patients underwent hepatectomy and had a postoperative survival time of 8 and 16 mo, respectively. A search of PubMed yielded eight references reporting 35 cases of PHA published between 2004 and 2013. On the basis of the presented cases and review of the literature, we endorse complete surgical resection as the mainstay definitive treatment of PHA, with adjuvant postoperative chemotherapy potentially improving survival. Palliative chemotherapy is an option in advanced hepatic angiosarcoma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438048PMC
http://dx.doi.org/10.3748/wjg.v21.i19.6088DOI Listing

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