Affiliation:
1. Cristo Redentor Hospital, Brazil
Abstract
The purpose of this article is to describe the clinical and pathological features of metastatic angiosarcoma in the central nervous system. Only a few cases of cerebral metastasis from angiosarcoma of the heart have been recorded in the literature; particulary related to intracerebral hemorrhage. A case of secondary cerebral angiosarcoma of the heart in a 33 years old man is presented. The initial symptoms were headache, vomiting, lethargy and aphasia. There was a mass in the left temporal lobe with hemorrhage and edema on the computerized tomography (CT). After 24 hours the neurological status worsened and another CT scan showed rebleeding on the tumor area. He underwent an emergency craniotomy but died two days after. Considering the longer survival of sarcoma patients with new modalities of treatment, the incidence of brain metastasis may increase, demanding a bether preventive and more aggressive approach. Besides, due to the hemorrhagic nature of such lesions, we suggest the imediate surgery to prevent a fast and lethal evolution because rebleeding.
Subject
Neurology,Clinical Neurology
Reference31 articles.
1. Cerebral metastasis from angiosarcoma of the heart;Vaquero J;J Neurosurg,1990
2. Primary cerebral angiosarcoma;Charman HP;J Neurosurg,1988
3. Primary angiosarcoma of the brain: case report;Antoniadis C;J Neurosurg,1996
4. Primary angiosarcoma of the brain;Cookston M;South Med J,1991
5. Soft tissue tumors;Enzinger FM,1988
Cited by
15 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献