Exulcerated Angiosarcoma of the Head and Neck Treated with Neoadjuvant Chemoradiotherapy and Flap Reconstruction

AGAOGLU F., Özger H., Karaaltın M. V., ALPAN B.

Diagnosis and Treatment of Soft Tissue Tumors: Changes, Challenges and Strategies, Springer International Publishing Ag, ss.403-408, 2025 identifier

  • Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/978-3-031-77061-6_44
  • Yayınevi: Springer International Publishing Ag
  • Sayfa Sayıları: ss.403-408
  • Anahtar Kelimeler: Angiosarcoma, Chemoradiotherapy, Cranium, Exophytic tumor, Exulceration, Head and neck, Neoadjuvant treatment, Pedicled trapezius flap, Scalp, Soft tissue reconstruction, Superficial, Wide resection
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Angiosarcomas are rare malignant soft tissue neoplasms commonly involving the skin and superficial soft tissues. The head, neck, and face are common areas of involvement. The lesions can be protuberant, nodular, and exulcerated. While complete surgical excision is the primary treatment modality, the infiltrative nature of the borders makes it difficult to determine the tumor extent and complicates surgical excision with clean margins. Radiotherapy is an essential adjuvant modality to facilitate surgery. Patients can also benefit from chemotherapy. In this chapter, we present the case of a 26-year-old male patient with fungating and exulcerating angiosarcoma of the head and neck region. The patient was treated with wide resection following concurrent chemoradiotherapy and soft tissue reconstruction with a pedicled trapezius flap.