Multidisciplinary Management of Angiosarcoma - A Review

J Surg Res. 2021 Jan:257:213-220. doi: 10.1016/j.jss.2020.07.026. Epub 2020 Aug 25.

Abstract

Angiosarcomas (AS) are a diverse group of soft tissue sarcomas, arising from blood and lymphatic vessels. They frequently present in the elderly, and in patients with previous radiation or lymphedema. A wide range of genetic derangements contribute to their development, and AS histology is often high-grade in keeping with aggressive disease biology. The clinical presentation, while often innocuous, is marked by its infiltrative and aggressive nature, with a proclivity for metastatic spread, and outcomes are often poor. Surgery is performed for localized, resectable cases. A multidisciplinary approach, appropriately employing surgery, radiation, chemotherapy, or potentially recently approved immune-oncology agents, can result in positive outcomes.

Keywords: Angiosarcoma; Hepatic angiosarcoma; Multidisciplinary care; Outcomes; Radiation; Review.

Publication types

  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Blood Vessels / pathology
  • Blood Vessels / radiation effects
  • Chemotherapy, Adjuvant
  • Clinical Trials, Phase II as Topic
  • Hemangiosarcoma / genetics
  • Hemangiosarcoma / mortality
  • Hemangiosarcoma / pathology
  • Hemangiosarcoma / therapy*
  • Humans
  • Lymphatic Vessels / pathology
  • Lymphatic Vessels / radiation effects
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / genetics
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / prevention & control*
  • Patient Care Team*
  • Progression-Free Survival
  • Radiotherapy, Adjuvant
  • Surgical Procedures, Operative