Management of intracranial angiosarcoma metastasis to the right lateral ventricle choroid plexus by radiotherapy: A case report

Year 2024, Volume: 41 Issue: 3, 679 - 680, 30.09.2024

Bilal Bahadır Akbulut , Hüseyin Biçeroğlu , Mustafa Serdar Bölük , Taşkın Yurtseven

Abstract

Angiosarcomas are a type of rare malignant endothelial tumor. While its most common metastasis site is the scalp, cerebral metastases are rare. A 46-year-old woman came with a headache. A cranial magnetic resonance imaging (MRI) showed a hemorrhagic lesion within the right lateral choroid plexus and T1 contrast-enhancing lesions in the falx cerebri and right frontal dura. We used mini-craniotomy and neuronavigation to remove a purple-colored extradural lesion in the right frontal region. Histopathological analysis later confirmed the diagnosis of angiosarcoma. Cardiac MRI demonstrated the presence of a left atrial mass, which led to the decision to operate on the patient by the cardiovascular surgery team. After the surgery, the patient underwent radiotherapy and chemotherapy, as there was no cranial metastasis necessitating surgical resection. The cranial metastases responded to the treatment on follow-up, and there was no evidence of recurrence on the three-year follow-up. Although they are uncommon, pathology that indicates the presence of angiosarcoma requires cardiac screening. These patients may not require aggressive surgery as they respond well to adjuvant therapies.

Keywords

angiosarcoma, metastasis, radiotherapy, case report

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