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Unusual clinical presentation of cutaneous angiosarcoma masquerading as eczema: a case report and review of the literature.

Trinh NQ, Rashed I, Hutchens KA, Go A, Melian E, Tung R - Case Rep Dermatol Med (2013)

Bottom Line: A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema.Despite treatments with topical steroids and moisturizers, the condition did not resolve.It also demonstrates that these lesions may respond well to radiotherapy as a single modality.

View Article: PubMed Central - PubMed

Affiliation: Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, USA.

ABSTRACT
An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema. Despite treatments with topical steroids and moisturizers, the condition did not resolve. At our clinic, excisional biopsy of the forehead lesion and scouting biopsies from the contralateral cheek were performed which revealed cutaneous angiosarcoma. The described case illustrates that dermatitis-like features should be considered as a rare clinical manifestation of cutaneous angiosarcoma. It also demonstrates that these lesions may respond well to radiotherapy as a single modality.

No MeSH data available.


Related in: MedlinePlus

Presentation of the patient 1 month after treatment with radiation treatment as a single modality.
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fig5: Presentation of the patient 1 month after treatment with radiation treatment as a single modality.

Mentions: The scalp, face, and bilateral cheeks were irradiated with thirty fractions of 2 Gy each for a total dose of 60 Gy. Toxicity was minimized by using 4 enface electron beams on a staggered start schedule. A 1 cm bolus was used to assure full dose to the skin surface. Scleral shields were used beneath the eyelids to protect the lenses and cornea. His treatment course was complicated by an episode of epistaxis, which exacerbated his underlying anemia of chronic renal disease necessitating hospitalization and blood transfusion. During his last month of treatment, the patient developed a localized infection of Enterobacter cloacae on the left forehead, which was resolved with topical garamycin (Figure 4). Results of follow-up physical examination by the multidisciplinary team at six months did not show any evidence of tumor recurrence (Figure 5). In-field biopsies within the irradiated region were done 1 month after treatment confirming a complete pathologic response to the radiotherapy.


Unusual clinical presentation of cutaneous angiosarcoma masquerading as eczema: a case report and review of the literature.

Trinh NQ, Rashed I, Hutchens KA, Go A, Melian E, Tung R - Case Rep Dermatol Med (2013)

Presentation of the patient 1 month after treatment with radiation treatment as a single modality.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814070&req=5

fig5: Presentation of the patient 1 month after treatment with radiation treatment as a single modality.
Mentions: The scalp, face, and bilateral cheeks were irradiated with thirty fractions of 2 Gy each for a total dose of 60 Gy. Toxicity was minimized by using 4 enface electron beams on a staggered start schedule. A 1 cm bolus was used to assure full dose to the skin surface. Scleral shields were used beneath the eyelids to protect the lenses and cornea. His treatment course was complicated by an episode of epistaxis, which exacerbated his underlying anemia of chronic renal disease necessitating hospitalization and blood transfusion. During his last month of treatment, the patient developed a localized infection of Enterobacter cloacae on the left forehead, which was resolved with topical garamycin (Figure 4). Results of follow-up physical examination by the multidisciplinary team at six months did not show any evidence of tumor recurrence (Figure 5). In-field biopsies within the irradiated region were done 1 month after treatment confirming a complete pathologic response to the radiotherapy.

Bottom Line: A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema.Despite treatments with topical steroids and moisturizers, the condition did not resolve.It also demonstrates that these lesions may respond well to radiotherapy as a single modality.

View Article: PubMed Central - PubMed

Affiliation: Stritch School of Medicine, Loyola University Chicago, Maywood, IL 60153, USA.

ABSTRACT
An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. A 98-year-old Caucasian male presented with a 6-month history of a flesh-colored, subcutaneous nodule on his left forehead with contralateral facial erythema and scaling that had been previously diagnosed as eczema. Despite treatments with topical steroids and moisturizers, the condition did not resolve. At our clinic, excisional biopsy of the forehead lesion and scouting biopsies from the contralateral cheek were performed which revealed cutaneous angiosarcoma. The described case illustrates that dermatitis-like features should be considered as a rare clinical manifestation of cutaneous angiosarcoma. It also demonstrates that these lesions may respond well to radiotherapy as a single modality.

No MeSH data available.


Related in: MedlinePlus