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Primary hepatic angiosarcoma

delete2015-09-01
delete98
PRE
AI
P
Priya Chaudhary *
U
Utsav Bhadana
R
Rajnish Singh
A
Arvind Ahuja
DOI:10.1016/j.ejso.2015.04.022delete
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Abstract

Abstract

En 中文
Primary hepatic angiosarcoma is a rare, aggressive tumor; composed of spindle or pleomorphic cells that line, or grow into, the lumina of pre-existing vascular spaces like sinusoids and terminal hepatic venules; with only about 200 cases diagnosed annually worldwide but it is the most common primary malignant mesenchymal tumor of the liver in adults and accounts for 2% of all primary hepatic malignancies. HAS occurs in association with known chemical carcinogens, but 75% of the tumors have no known etiology. Patients present with vague symptoms like abdominal pain, weight loss, fatigue or an abdominal mass. Hepatic angiosarcoma is usually multicentric and involves both lobes, entire liver may also found to be involved. CD31 is the most reliable marker. These tumors lack specific features on imaging, so, pathological diagnosis is necessary. There are no established treatment guidelines because of low frequency and aggressive nature of tumor, chemotherapy is only palliative, liver resection is indicated for solitary mass and liver transplant is contraindicated. The aim of this article is to comprehensively review all the available literature and to present detailed information and an update on primary hepatic angiosarcoma. (C) 2015 Elsevier Ltd. All rights reserved.
Keywords:
Primary hepatic angiosarcoma
Non-specific symptoms
Difficult and delayed diagnosis
No treatment guidelines
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Key information extracted from the uploaded paper, including a brief overview, abstract, background, key highlights, visual analysis, and future outlook.

Journal

European Journal of Surgical Oncology cover
European Journal of Surgical Oncology
IF:
2.9
Papers:
6.7K
Citations:
1.3W

Organization

L
Lady Hardinge Medical College and Hospital
Scholars:
581
Papers: 362
Citations: 1
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