A RARE CASE OF SCALP ANGIOSARCOMA IN A PATIENT WITH SUPERIOR SAGITTAL SINUS MENINGIOMA

L.G.M. Di Somma¹ , A. Mattioli², G. Goteri³ , N. Nersesian³, M. Dobran¹

¹ Department of Neurosurgery, Università Politecnica delle Marche, Ancona, Italy
² Department of Neurosurgery, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Italy
³ Division of Pathological Anatomy, Department of Biomedical Sciences and Public Health, Polytechnic University of Marche di Ancona, Italy

Correspondence to:

Journal of Orthopedics 2023 May-Aug; 15(2): 95-99
https://doi.org/10.69149/orthopedics/2023v15iss2_4

Received: 25 April 2023 Accepted: 18 May 2023

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Abstract

Cutaneous angiosarcoma (CAS) is a rare but highly aggressive sarcoma of mesenchymal origin with a high mortality rate. The most affected sites of CAS are the scalp and facial skin. The 85-year-old patient, in follow-up for posterior parasagittal meningioma for several years, developed a single violaceous and ulcerated scalp lesion. The CT cerebral angio revealed, beyond the well-known meningioma, an area of bone rarefaction associated with ulcerated tissue infiltrating the skin and subcutaneous layers. After surgical biopsy, the histological examination documented a scalp angiosarcoma. The oncological treatment was not possible, given the age. The patient was referred to the plastic surgeon and underwent serial medication. The patient made a good functional recovery but died six months later due to a pulmonary embolism. This paper discusses the correlation between the scalp’s angiosarcoma disease and the presence of the parasagittal meningioma.

Keywords: head and neck tumor, sagittal sinus meningioma, scalp angiosarcoma