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Case Reports
. 2023 May 6;11(13):3099-3104.
doi: 10.12998/wjcc.v11.i13.3099.

Misdiagnosis of scalp angiosarcoma: A case report

Zhao-Hong Yan  1 , Zhen-Lan Li  1 , Xiao-Wei Chen  1 , Ya-Wen Lian  1 , Li-Xin Liu  2 , Hao-Yang Duan  3
Affiliations
Case Reports

Misdiagnosis of scalp angiosarcoma: A case report

Zhao-Hong Yan et al. World J Clin Cases. .

Abstract

Background: Angiosarcoma is a rare malignant tumor. Owing to the lack of specific clinical manifestations of this disease, it is difficult to achieve early diagnosis and start early treatment.

Case summary: A 78-year-old male patient was admitted to the hospital because of a bump on his head that did not heal for 4 mo. The patient was diagnosed with a refractory head wound. The patient underwent neoplasm resection and skin grafting surgery in the Plastic Surgery. The neoplasm was sent for pathological examination during the operation. The final pathological results were confirmed scalp angiosarcoma.

Conclusion: Our research suggests that pathological examination should be performed for refractory ulcers of the scalp, and physical factor therapy should be used with caution before the diagnosis is clear.

Keywords: Case report; Pathological examination; Refractory head wound; Scalp angiosarcoma.

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Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
The rupture on the skull.
Figure 2
Figure 2
The patient was treated with mass resection and skin grafting.
Figure 3
Figure 3
Pathological examination during surgery.
Figure 4
Figure 4
Morphological features of the angiosarcoma. A: Under low magnification: The tumor cells diffusely infiltrated the dermis, involving the skin appendages and ulceration; B: Under high magnification: Proliferated vessels with fissures were composed of vascular endothelial cells with heteromorphic hyperplasia and nucleoli, and red blood cells were extravasated; C: Under high magnification: The intense positivity for an antiCD34 antibody shows that angiosarcomatous cells formed irregular vessels; D: Under high magnification: A high mitotic index was confirmed by immunohistochemical study for Ki67.
See this image and copyright information in PMC

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