Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2014

Open Access 01-12-2014 | Case report

Pediatric primary splenic angiosarcoma: an aggressive multidisciplinary approach to the oncologic management of a rare malignancy

Authors: Oscar K Serrano, Esther Knapp, Kevin Huang, Galina Baran, Mindy Statter, Danielle McClain, Jonathan Gill

Published in: World Journal of Surgical Oncology | Issue 1/2014

Login to get access

Abstract

Primary splenic angiosarcoma is an extremely rare and aggressive neoplasm of the vasculature. Uniformly, primary splenic angiosarcoma is a fatal disease despite early diagnosis and treatment. Only patients with localized disease amenable to surgical resection achieve long-term, disease-free survival. We present a review of the literature and report a case of a 3-year-old girl with metastatic primary splenic angiosarcoma who was offered aggressive surgical and medical treatment with curative intent despite her advanced presentation.
Appendix
Available only for authorised users
Literature
1.
go back to reference Rapkin L, Qayed M, Brill P, Martin M, Clark D, George BA, Olson TA, Wasilewski-Masker K, Alazraki A, Katzenstein HM: Gemcitabine and docetaxel (GEMDOX) for the treatment of relapsed and refractory pediatric sarcomas. Pediatr Blood Cancer. 2012, 59: 854-858. 10.1002/pbc.24101.CrossRefPubMed Rapkin L, Qayed M, Brill P, Martin M, Clark D, George BA, Olson TA, Wasilewski-Masker K, Alazraki A, Katzenstein HM: Gemcitabine and docetaxel (GEMDOX) for the treatment of relapsed and refractory pediatric sarcomas. Pediatr Blood Cancer. 2012, 59: 854-858. 10.1002/pbc.24101.CrossRefPubMed
2.
go back to reference Langhans T: Pulsating cavernous neoplasm of the spleen with metastatic nodules to the liver. Vichows Arch Pathol Anat. 1879, 75: 273-291. 10.1007/BF02134657.CrossRef Langhans T: Pulsating cavernous neoplasm of the spleen with metastatic nodules to the liver. Vichows Arch Pathol Anat. 1879, 75: 273-291. 10.1007/BF02134657.CrossRef
3.
go back to reference Falk S, Krishnan J, Meis JM: Primary angiosarcoma of the spleen. A clinicopathologic study of 40 cases. Am J Surg Pathol. 1993, 17: 959-970. 10.1097/00000478-199310000-00001.CrossRefPubMed Falk S, Krishnan J, Meis JM: Primary angiosarcoma of the spleen. A clinicopathologic study of 40 cases. Am J Surg Pathol. 1993, 17: 959-970. 10.1097/00000478-199310000-00001.CrossRefPubMed
4.
go back to reference Neuhauser TS, Derringer GA, Thompson LD, Fanburg-Smith JC, Miettinen M, Saaristo A, Abbondanzo SL: Splenic angiosarcoma: a clinicopathologic and immunophenotypic study of 28 cases. Mod Pathol. 2000, 13: 978-987. 10.1038/modpathol.3880178.CrossRefPubMed Neuhauser TS, Derringer GA, Thompson LD, Fanburg-Smith JC, Miettinen M, Saaristo A, Abbondanzo SL: Splenic angiosarcoma: a clinicopathologic and immunophenotypic study of 28 cases. Mod Pathol. 2000, 13: 978-987. 10.1038/modpathol.3880178.CrossRefPubMed
5.
go back to reference Alt B, Hafez GR, Trigg M, Shahidi NT, Gilbert EF: Angiosarcoma of the liver and spleen in an infant. Pediatr Pathol. 1985, 4: 331-339. 10.3109/15513818509026906.CrossRefPubMed Alt B, Hafez GR, Trigg M, Shahidi NT, Gilbert EF: Angiosarcoma of the liver and spleen in an infant. Pediatr Pathol. 1985, 4: 331-339. 10.3109/15513818509026906.CrossRefPubMed
6.
go back to reference den Hoed ID, Granzen B, Granzen B, Aronson DC, Pauwels P, de Kraker J, van Heurn LW: Metastasized angiosarcoma of the spleen in a 2-year-old girl. Pediatr Hematol Oncol. 2005, 22: 387-390. 10.1080/08880010590964228.CrossRefPubMed den Hoed ID, Granzen B, Granzen B, Aronson DC, Pauwels P, de Kraker J, van Heurn LW: Metastasized angiosarcoma of the spleen in a 2-year-old girl. Pediatr Hematol Oncol. 2005, 22: 387-390. 10.1080/08880010590964228.CrossRefPubMed
7.
go back to reference Ferrara A, Ghione R: Primary angiosarcoma of the spleen. Rass Fisiopatol Clin Ter. 1955, 27 (9): 759-792.PubMed Ferrara A, Ghione R: Primary angiosarcoma of the spleen. Rass Fisiopatol Clin Ter. 1955, 27 (9): 759-792.PubMed
8.
go back to reference Hsu JT, Ueng SH, Hwang TL, Chen HM, Jan YY, Chen MF: Primary angiosarcoma of the spleen in a child with long-term survival. Pediatr Surg Int. 2007, 23: 807-810. 10.1007/s00383-007-1874-1.CrossRefPubMed Hsu JT, Ueng SH, Hwang TL, Chen HM, Jan YY, Chen MF: Primary angiosarcoma of the spleen in a child with long-term survival. Pediatr Surg Int. 2007, 23: 807-810. 10.1007/s00383-007-1874-1.CrossRefPubMed
9.
go back to reference Kren L, Kaur P, Goncharuk VN, Dolezel Z, Krenova Z: Primary angiosarcoma of the spleen in a child. Med Pediatr Oncol. 2003, 40: 411-412. 10.1002/mpo.10140.CrossRefPubMed Kren L, Kaur P, Goncharuk VN, Dolezel Z, Krenova Z: Primary angiosarcoma of the spleen in a child. Med Pediatr Oncol. 2003, 40: 411-412. 10.1002/mpo.10140.CrossRefPubMed
10.
go back to reference Sordillo EM, Sordillo PP, Hajdu SI: Primary hemangiosarcoma of the spleen: report of four cases. Med Pediatr Oncol. 1981, 9 (4): 319-324. 10.1002/mpo.2950090403.CrossRefPubMed Sordillo EM, Sordillo PP, Hajdu SI: Primary hemangiosarcoma of the spleen: report of four cases. Med Pediatr Oncol. 1981, 9 (4): 319-324. 10.1002/mpo.2950090403.CrossRefPubMed
11.
go back to reference Wick MR, Scheithauer BW, Smith SL, Beart RW: Primary nonlymphoreticular malignant neoplasms of the spleen. Am J Surg Pathol. 1982, 6: 229-242. 10.1097/00000478-198204000-00005.CrossRefPubMed Wick MR, Scheithauer BW, Smith SL, Beart RW: Primary nonlymphoreticular malignant neoplasms of the spleen. Am J Surg Pathol. 1982, 6: 229-242. 10.1097/00000478-198204000-00005.CrossRefPubMed
12.
go back to reference Zwi LJ, Evans DJ, Wechsler AL, Catovsky D: Splenic angiosarcoma following chemotherapy for follicular lymphoma. Hum Pathol. 1986, 17: 528-530. 10.1016/S0046-8177(86)80044-2.CrossRefPubMed Zwi LJ, Evans DJ, Wechsler AL, Catovsky D: Splenic angiosarcoma following chemotherapy for follicular lymphoma. Hum Pathol. 1986, 17: 528-530. 10.1016/S0046-8177(86)80044-2.CrossRefPubMed
14.
go back to reference De Navasquez S: Angioblastoma of the spleen with metastases to the liver. J Pathol Bacteriol. 1936, 42: 651-656. 10.1002/path.1700420310.CrossRef De Navasquez S: Angioblastoma of the spleen with metastases to the liver. J Pathol Bacteriol. 1936, 42: 651-656. 10.1002/path.1700420310.CrossRef
15.
go back to reference Autry JR, Weitzner S: Hemangiosarcoma of spleen with spontaneous rupture. Cancer. 1975, 35: 534-539. 10.1002/1097-0142(197502)35:2<534::AID-CNCR2820350236>3.0.CO;2-4.CrossRefPubMed Autry JR, Weitzner S: Hemangiosarcoma of spleen with spontaneous rupture. Cancer. 1975, 35: 534-539. 10.1002/1097-0142(197502)35:2<534::AID-CNCR2820350236>3.0.CO;2-4.CrossRefPubMed
16.
go back to reference Kinoshita T, Ishii K, Yajima Y, Sakai N, Naganuma H: Splenic hemangiosarcoma with massive calcification. Abdom Imaging. 1999, 24: 185-187. 10.1007/s002619900472.CrossRefPubMed Kinoshita T, Ishii K, Yajima Y, Sakai N, Naganuma H: Splenic hemangiosarcoma with massive calcification. Abdom Imaging. 1999, 24: 185-187. 10.1007/s002619900472.CrossRefPubMed
17.
go back to reference Abbott RM, Levy AD, Aguilera NS, Gorospe L, Thompson WM: From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics. 2004, 24: 1137-1163. 10.1148/rg.244045006.CrossRefPubMed Abbott RM, Levy AD, Aguilera NS, Gorospe L, Thompson WM: From the archives of the AFIP: primary vascular neoplasms of the spleen: radiologic-pathologic correlation. Radiographics. 2004, 24: 1137-1163. 10.1148/rg.244045006.CrossRefPubMed
18.
go back to reference Oztürk E, Mutlu H, Sönmez G, Sildiroğlu HO: Primary angiosarcoma of the spleen. Turk J Gastroenterol. 2007, 18: 272-275.PubMed Oztürk E, Mutlu H, Sönmez G, Sildiroğlu HO: Primary angiosarcoma of the spleen. Turk J Gastroenterol. 2007, 18: 272-275.PubMed
19.
go back to reference Kaneko K, Onitsuka H, Murakami J, Honda H, Kimura M, Shiraishi N, Masuda K: MRI of primary spleen angiosarcoma with iron accumulation. J Comput Assist Tomogr. 1992, 16: 298-300. 10.1097/00004728-199203000-00021.CrossRefPubMed Kaneko K, Onitsuka H, Murakami J, Honda H, Kimura M, Shiraishi N, Masuda K: MRI of primary spleen angiosarcoma with iron accumulation. J Comput Assist Tomogr. 1992, 16: 298-300. 10.1097/00004728-199203000-00021.CrossRefPubMed
20.
go back to reference Holden CA, Spaull J, Das AK, McKee PH, Jones EW: The histogenesis of angiosarcoma of the face and scalp: an immunohistochemical and ultrastructural study. Histopathology. 1987, 11: 37-51.CrossRefPubMed Holden CA, Spaull J, Das AK, McKee PH, Jones EW: The histogenesis of angiosarcoma of the face and scalp: an immunohistochemical and ultrastructural study. Histopathology. 1987, 11: 37-51.CrossRefPubMed
21.
go back to reference Penel N, Bui BN, Cupissol D, Ray-Coquard I, Piperno-Neumann S, Kerbrat P, Fournier C, Taieb S, Jimenez M, Isambert N, Peyrade F, Chevreau C, Bompas E, Brain EG, Blay JY: Phase II trial of weekly paclitaxel for unresectable angiosarcoma: the ANGIOTAX study. J Clin Oncol. 2008, 26: 5269-5274. 10.1200/JCO.2008.17.3146.CrossRefPubMed Penel N, Bui BN, Cupissol D, Ray-Coquard I, Piperno-Neumann S, Kerbrat P, Fournier C, Taieb S, Jimenez M, Isambert N, Peyrade F, Chevreau C, Bompas E, Brain EG, Blay JY: Phase II trial of weekly paclitaxel for unresectable angiosarcoma: the ANGIOTAX study. J Clin Oncol. 2008, 26: 5269-5274. 10.1200/JCO.2008.17.3146.CrossRefPubMed
22.
go back to reference Trent J, Formiga M: Primary splenic angiosarcoma: prolonged efficacy of gemcitabine plus docetaxel combination chemotherapy. Cancer Therapy. 2008, 6: 755-758. Trent J, Formiga M: Primary splenic angiosarcoma: prolonged efficacy of gemcitabine plus docetaxel combination chemotherapy. Cancer Therapy. 2008, 6: 755-758.
23.
go back to reference Hensley ML: Update on gemcitabine and docetaxel combination therapy for primary and metastatic sarcomas. Curr Opin Oncol. 2010, 22: 356-361. 10.1097/CCO.0b013e32833aafef.CrossRefPubMed Hensley ML: Update on gemcitabine and docetaxel combination therapy for primary and metastatic sarcomas. Curr Opin Oncol. 2010, 22: 356-361. 10.1097/CCO.0b013e32833aafef.CrossRefPubMed
24.
go back to reference Leu KM, Ostruszka LJ, Shewach D, Zalupski M, Sondak V, Biermann JS, Lee JS, Couwlier C, Palazzolo K, Baker LH: Laboratory and clinical evidence of synergistic cytotoxicity of sequential treatment with gemcitabine followed by docetaxel in the treatment of sarcoma. J Clin Oncol. 2004, 22: 1706-1712. 10.1200/JCO.2004.08.043.CrossRefPubMed Leu KM, Ostruszka LJ, Shewach D, Zalupski M, Sondak V, Biermann JS, Lee JS, Couwlier C, Palazzolo K, Baker LH: Laboratory and clinical evidence of synergistic cytotoxicity of sequential treatment with gemcitabine followed by docetaxel in the treatment of sarcoma. J Clin Oncol. 2004, 22: 1706-1712. 10.1200/JCO.2004.08.043.CrossRefPubMed
25.
go back to reference Spiridonidis CH, Laufman LR, Jones J, Rhodes VA, Wallace K, Nicol S: Phase I study of docetaxel dose escalation in combination with fixed weekly gemcitabine in patients with advanced malignancies. J Clin Oncol. 1998, 16: 3866-3873.PubMed Spiridonidis CH, Laufman LR, Jones J, Rhodes VA, Wallace K, Nicol S: Phase I study of docetaxel dose escalation in combination with fixed weekly gemcitabine in patients with advanced malignancies. J Clin Oncol. 1998, 16: 3866-3873.PubMed
26.
go back to reference Maki RG, Wathen JK, Patel SR, Priebat DA, Okuno SH, Samuels B, Fanucchi M, Harmon DC, Schuetze SM, Reinke D, Thall PF, Benjamin RS, Baker LH, Hensley ML: Randomized phase II study of gemcitabine and docetaxel compared with gemcitabine alone in patients with metastatic soft tissue sarcomas: results of sarcoma alliance for research through collaboration Study 002. J Clin Oncol. 2007, 25: 2755-2763. 10.1200/JCO.2006.10.4117.CrossRefPubMed Maki RG, Wathen JK, Patel SR, Priebat DA, Okuno SH, Samuels B, Fanucchi M, Harmon DC, Schuetze SM, Reinke D, Thall PF, Benjamin RS, Baker LH, Hensley ML: Randomized phase II study of gemcitabine and docetaxel compared with gemcitabine alone in patients with metastatic soft tissue sarcomas: results of sarcoma alliance for research through collaboration Study 002. J Clin Oncol. 2007, 25: 2755-2763. 10.1200/JCO.2006.10.4117.CrossRefPubMed
27.
go back to reference Mora J, Cruz CO, Parareda A, de Torres C: Treatment of relapsed/refractory pediatric sarcomas with gemcitabine and docetaxel. J Pediatr Hematol Oncol. 2009, 31: 723-729. 10.1097/MPH.0b013e3181b2598c.CrossRefPubMed Mora J, Cruz CO, Parareda A, de Torres C: Treatment of relapsed/refractory pediatric sarcomas with gemcitabine and docetaxel. J Pediatr Hematol Oncol. 2009, 31: 723-729. 10.1097/MPH.0b013e3181b2598c.CrossRefPubMed
Metadata
Title
Pediatric primary splenic angiosarcoma: an aggressive multidisciplinary approach to the oncologic management of a rare malignancy
Authors
Oscar K Serrano
Esther Knapp
Kevin Huang
Galina Baran
Mindy Statter
Danielle McClain
Jonathan Gill
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-12-379

Other articles of this Issue 1/2014

World Journal of Surgical Oncology 1/2014 Go to the issue