nach oben

Erschienen in:

05.08.2020 | case report

Atypical vascular proliferations of the neck

verfasst von: Uwe Wollina, MD, Jacqueline Schönlebe, MD, André Koch, MD, Michael Tirant, PhD, José C. Cardoso, MD, Ayşe Serap Karadag, MD

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 3-4/2021

Einloggen, um Zugang zu erhalten

Summary

Atypical vascular proliferations (AVP) are a late complication after radiotherapy. Most cases have been reported in female breast cancer patients on the chest wall. These lesions are mostly of the lymphatic type. Herein, we report a blood vascular-type AVP in a male on the neck 60 years after radiotherapy for a benign hemangioma, which makes this case exceptional. We removed the whole chronic radiodermatitis surgically. Histopathology excluded vascular malignancies but confirmed AVP. We discuss the differential diagnoses and treatment.

Vorheriger Artikel Retronychia—an uncommon cause of chronic proximal nail fold inflammation

Nächster Artikel Hypopyon sign as an unusual complication of varicella infection in a girl with atopic dermatitis

Zhong CS, Raut CP, Glynn RJ, Nambudiri VE. Characteristics of atypical post-radiation vascular proliferation: a retrospective review of 193 patients. J Am Acad Dermatol. 2019; https://doi.org/10.1016/j.jaad.2019.10.036.CrossRefPubMed

Patton KT, Deyrup AT, Weiss SW. Atypical vascular lesions after surgery and radiation of the breast: a clinicopathologic study of 32 cases analyzing histologic heterogeneity and association with angiosarcoma. Am J Surg Pathol. 2008;32(6):943–50.CrossRef

Brenn T, Fletcher CD. Radiation-associated cutaneous atypical vascular lesions and angiosarcoma: clinicopathologic analysis of 42 cases. Am J Surg Pathol. 2005;29(8):983–96.PubMed

Requena L, Kutzner H, Mentzel T, Durán R, Rodríguez-Peralto JL. Benign vascular proliferations in irradiated skin. Am J Surg Pathol. 2002;26(3):328–37.CrossRef

Cuperus E, Leguit R, Albregts M, Toonstra J. Post radiation skin tumors: basal cell carcinomas, squamous cell carcinomas and angiosarcomas. A review of this late effect of radiotherapy. Eur J Dermatol. 2013;23(6):749–57.CrossRef

Wollina U. Basal cell carcinoma in the area of chronic radiodermatitis—3 case reports with long-term follow-up. Georgian Med News. 2016;254:7–10.

Lundell M, Fürst CJ, Hedlund B, Holm LE. Radium treatment for hemangioma in early childhood. Reconstruction and dosimetry of treatments, 1920–1959. Acta Oncol. 1990;29(5):551–6.CrossRef

Gengler C, Coindre JM, Leroux A, Trassard M, Ranchère-Vince D, Valo I, et al. Vascular proliferations of the skin after radiation therapy for breast cancer: clinicopathologic analysis of a series in favor of a benign process: a study from the French Sarcoma Group. Cancer. 2007;109(8):1584–98.CrossRef

Fraga-Guedes C, Gobbi H, Mastropasqua MG, Rocha RM, Botteri E, Toesca A, et al. Clinicopathological and immunohistochemical study of 30 cases of post-radiation atypical vascular lesion of the breast. Breast Cancer Res Treat. 2014;146(2):347–54.CrossRef

10.

Mentzel T, Schildhaus HU, Palmedo G, Büttner R, Kutzner H. Postradiation cutaneous angiosarcoma after treatment of breast carcinoma is characterized by MYC amplification in contrast to atypical vascular lesions after radiotherapy and control cases: clinicopathological, immunohistochemical and molecular analysis of 66 cases. Mod Pathol. 2012;25(1):75–85.CrossRef

11.

Santi R, Cetica V, Franchi A, Pepi M, Cesinaro AM, Miracco C, et al. Tumour suppressor gene TP53 mutations in atypical vascular lesions of breast skin following radiotherapy. Histopathology. 2011;58(3):455–66.CrossRef

12.

Karkouche R, Carbonnelle-Puscian A, Rivet J, Fraitag S, Moulonguet I, Carlotti A, et al. Lésions vasculaires atypiques et angiosarcomes post-radiothérapie: 11 cas. Ann Dermatol Venereol. 2012;139(2):109–17. Post-radiation atypical vascular lesions and angiosarcoma: 11 cases.CrossRef

13.

Antonescu C. Malignant vascular tumors—an update. Mod Pathol. 2014;27(S1):S30–S8.CrossRef

14.

Anzalone CL, Cohen PR, Tschen JA, MacFarlane DF. Radiation-associated atypical vascular lesions: vascular lesions with endothelial cell atypia presenting in the radiation port of breast cancer patients. SKINmed. 2014;12(6):344–8.PubMed

Titel: Atypical vascular proliferations of the neck
verfasst von: Uwe Wollina, MD
Jacqueline Schönlebe, MD
André Koch, MD
Michael Tirant, PhD
José C. Cardoso, MD
Ayşe Serap Karadag, MD
Publikationsdatum: 05.08.2020
Verlag: Springer Vienna
Erschienen in: Wiener Medizinische Wochenschrift / Ausgabe 3-4/2021
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI: https://doi.org/10.1007/s10354-020-00774-x

Springer Medizin Österreich

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3-4/2021

Vaginal melanosis

Retronychia—an uncommon cause of chronic proximal nail fold inflammation

Successful pregnancy outcome in two sisters with cerebral palsy and phocomelia: a case report and literature review

Treatment of numerous hand warts with Clinopodium vulgare tea

20 Jahre Herausgeberschaft der Wiener Medizinischen Wochenschrift

Hämatomneigung bei Lipödem: Kutane Genese oder Gerinnungsdefekt?