Angiosarkom
Angiosarcomas (like hemangiopericytomas and hemangioendotheliomas) are tumors that arise from vascular structures. They are typically difficult to distinguish from one another on imaging alone.
Angiosarcomas, are the most aggressive of the three, frequently having metastases at the time of diagnosis (and therefore carrying an extremely poor prognosis), and often have local recurrences.
Epidemiology
They account for less than 1% of all sarcomas and are more frequently seen in males (M:F = 2:1) except when seen in the setting of post-mastectomy lymphedema which is clearly more common in women and is known as Stewart-Treves syndrome.
Pathology
The malignant cells express morphological and functional properties of endothelial cells. The tumors can be multicentric with hemorrhage and necrosis being common.
Location-specific lesions
- hepatic angiosarcoma
- breast angiosarcoma
- cutaneous angiosarcoma
- musculoskeletal angiosarcoma
- cardiac angiosarcoma
- primary angiosarcoma of spleen
- pulmonary angiosarcoma (can be primary or metastatic)
Associations
Siehe auch:
- Angiosarkom der Milz
- Angiosarkom des Herzens
- Angiosarkom Leber
- musculoskeletal angiosarcoma
- Lymphangiosarkom
- angiosarcoma of soft tissue
- Angiosarkom der Mamma
- Stewart-Treves-Syndrom
und weiter:
- Splenomegalie
- WHO-Klassifikation der Tumoren des zentralen Nervensystems
- Tumoren der Thoraxwand
- Gossypibom
- Gorham-Stout-Syndrom
- tumours of blood vessels
- mesothelioma-like pleuropulmonary angiosarcoma
- malignant vascular tumours
- Gefäßtumoren
- pleuropulmonary angiosarcoma
- musculoskeletal haemangiopericytoma
- malignant liver tumours (paediatric)
- cardiac tamponade orginated by right atrial angiosarcoma
- haemangioendothelioma (MSK)
- pulmonary metastases from hemangiosarcoma
- extraskelettales Ewingsarkom
- Vinylchlorid-Krankheit
- Angiosarkom der Wirbelsäule