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

L.G.M. Di Somma¹, A. Mattioli¹, D. Aiudi¹, G. Goteri², N.Nersesian² and M. Dobran¹*

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

*Correspondence to:
Mauro Dobran, MD
Department of Neurosurgery,
Università Politecnica delle Marche,
Via Conca 71,
60020, Ancona, Italy
e-mail: m.dobran@staff.univpm.it

Received: 25 April 2023 Accepted: 18 May  2023

ISSN: 1973-6401 Copyright © by Lab Publishers (2023) This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article.

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