Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma

A primary splenic angiosarcoma is a rare type of soft tissue sarcoma and is associated with an extremely poor prognosis. In this study, we describe the case of a patient who was diagnosed with metastatic primary splenic angiosarcoma and survived for about 2 years. A 62-year-old female was referred t...

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Autores principales: Masanori Takehara, Hiroshi Miyamoto, Yasuteru Fujino, Tetsu Tomonari, Tatsuya Taniguchi, Shinji Kitamura, Koichi Okamoto, Masahiro Sogabe, Yasushi Sato, Naoki Muguruma, Yoshimi Bando, Tetsuji Takayama
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Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:03698ea5c4174274bdea0faf794791ee2021-11-11T10:40:44ZLong-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma1662-063110.1159/000519211https://doaj.org/article/03698ea5c4174274bdea0faf794791ee2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519211https://doaj.org/toc/1662-0631A primary splenic angiosarcoma is a rare type of soft tissue sarcoma and is associated with an extremely poor prognosis. In this study, we describe the case of a patient who was diagnosed with metastatic primary splenic angiosarcoma and survived for about 2 years. A 62-year-old female was referred to us for the treatment of splenic angiosarcoma with disseminated intravascular coagulation (DIC) and multiple liver and bone metastases. Paclitaxel therapy resulted in recovery from DIC and enabled her to continue sequential treatment through to sixth-line chemotherapy. We reviewed all splenic angiosarcoma case reports which were described as stage IV to date and compared with our case. From these data, we found that the median overall survival was 105 days, and the prognosis of splenic angiosarcoma of stage IV was worse than conventional case series. Splenectomy was performed in more patients than chemotherapy as a treatment. Moreover, various chemotherapeutic regimens were used. These data suggest that administering chemotherapy including paclitaxel to patients with splenic angiosarcoma might improve their prognosis.Masanori TakeharaHiroshi MiyamotoYasuteru FujinoTetsu TomonariTatsuya TaniguchiShinji KitamuraKoichi OkamotoMasahiro SogabeYasushi SatoNaoki MugurumaYoshimi BandoTetsuji TakayamaKarger Publishersarticleangiosarcomahepatic metastasisbone metastasispaclitaxelchemotherapyDiseases of the digestive system. GastroenterologyRC799-869ENCase Reports in Gastroenterology, Vol 15, Iss 3, Pp 910-918 (2021)
institution DOAJ
collection DOAJ
language EN
topic angiosarcoma
hepatic metastasis
bone metastasis
paclitaxel
chemotherapy
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle angiosarcoma
hepatic metastasis
bone metastasis
paclitaxel
chemotherapy
Diseases of the digestive system. Gastroenterology
RC799-869
Masanori Takehara
Hiroshi Miyamoto
Yasuteru Fujino
Tetsu Tomonari
Tatsuya Taniguchi
Shinji Kitamura
Koichi Okamoto
Masahiro Sogabe
Yasushi Sato
Naoki Muguruma
Yoshimi Bando
Tetsuji Takayama
Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
description A primary splenic angiosarcoma is a rare type of soft tissue sarcoma and is associated with an extremely poor prognosis. In this study, we describe the case of a patient who was diagnosed with metastatic primary splenic angiosarcoma and survived for about 2 years. A 62-year-old female was referred to us for the treatment of splenic angiosarcoma with disseminated intravascular coagulation (DIC) and multiple liver and bone metastases. Paclitaxel therapy resulted in recovery from DIC and enabled her to continue sequential treatment through to sixth-line chemotherapy. We reviewed all splenic angiosarcoma case reports which were described as stage IV to date and compared with our case. From these data, we found that the median overall survival was 105 days, and the prognosis of splenic angiosarcoma of stage IV was worse than conventional case series. Splenectomy was performed in more patients than chemotherapy as a treatment. Moreover, various chemotherapeutic regimens were used. These data suggest that administering chemotherapy including paclitaxel to patients with splenic angiosarcoma might improve their prognosis.
format article
author Masanori Takehara
Hiroshi Miyamoto
Yasuteru Fujino
Tetsu Tomonari
Tatsuya Taniguchi
Shinji Kitamura
Koichi Okamoto
Masahiro Sogabe
Yasushi Sato
Naoki Muguruma
Yoshimi Bando
Tetsuji Takayama
author_facet Masanori Takehara
Hiroshi Miyamoto
Yasuteru Fujino
Tetsu Tomonari
Tatsuya Taniguchi
Shinji Kitamura
Koichi Okamoto
Masahiro Sogabe
Yasushi Sato
Naoki Muguruma
Yoshimi Bando
Tetsuji Takayama
author_sort Masanori Takehara
title Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
title_short Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
title_full Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
title_fullStr Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
title_full_unstemmed Long-Term Survival due to Chemotherapy including Paclitaxel in a Patient with Metastatic Primary Splenic Angiosarcoma
title_sort long-term survival due to chemotherapy including paclitaxel in a patient with metastatic primary splenic angiosarcoma
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/03698ea5c4174274bdea0faf794791ee
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