Korean J Med.  2015 Aug;89(2):201-205. 10.3904/kjm.2015.89.2.201.

A Primary Duodenal Angiosarcoma with Lung and Bone Metastases: A Case Report and Literature Review

• Park JH
• Park J
• Kim MS
• Yu JW
• Jeon GJ
• Lim SN
• Kim WG

• KMID: 2269029
• DOI: http://doi.org/10.3904/kjm.2015.89.2.201

Abstract

An angiosarcoma is a rare soft-tissue neoplasm that develops anywhere in the body, and most commonly presents cutaneously in elderly white males, involving the head and neck, particularly the scalp. The neoplasm occurs only very rarely in the gastrointestinal tract. A patient was initially admitted to our hospital for treatment of dyspnea and hemoptysis. Both lungs contained multiple nodules, and a computed tomography (CT)-guided lung biopsy was performed. Endogastroduodenoscopy used to evaluate the anemia revealed a duodenal polypoid tumor. Microscopic examination showed that the tumor was a primary angiosarcoma of the duodenum with metastasis to the lung. In addition, positron emission tomography/CT revealed metastasis to the femur and the pelvic bone. Thus, we report a case of primary duodenal angiosarcoma with metastases to the lung and bone.

Keyword

Angiosarcoma; Duodenal neoplasms; Neoplasm metastasis

MeSH Terms

Aged
Anemia
Biopsy
Duodenal Neoplasms
Duodenum
Dyspnea
Electrons
Femur
Gastrointestinal Tract
Head
Hemangiosarcoma*
Hemoptysis
Humans
Lung*
Male
Neck
Neoplasm Metastasis*
Pelvic Bones
Scalp