Maxillary angiosarcoma: a case report and literature review

Angiosarcoma is a rare and aggressive malignant mesenchymal neoplasia developing from endothelial cells, comprising only 2 % of soft tissues sarcomas. While primarily affecting soft tissues and skin, its occurrence in the oral cavity is exceptionally rare (1.6 %). We present the case of a 78-year-ol...

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Main Authors: Kamdem Benedikta, Sala Nathalie, Broome Martin, May Laurence
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Oral and Maxillofacial Surgery Cases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214541925000185
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author Kamdem Benedikta
Sala Nathalie
Broome Martin
May Laurence
author_facet Kamdem Benedikta
Sala Nathalie
Broome Martin
May Laurence
author_sort Kamdem Benedikta
collection DOAJ
description Angiosarcoma is a rare and aggressive malignant mesenchymal neoplasia developing from endothelial cells, comprising only 2 % of soft tissues sarcomas. While primarily affecting soft tissues and skin, its occurrence in the oral cavity is exceptionally rare (1.6 %). We present the case of a 78-year-old woman with a nodular gingival lesion initially suspected as squamous cell carcinoma. Despite an uneventful postoperative course following maxillectomy, the histological examination revealed angiosarcoma. Discussion highlights the diagnostic challenges due to its varied clinical and histological presentation, often mimicking other lesions. Treatment involves complete surgical excision, followed by adjuvant chemotherapy and radiotherapy. However, the prognosis remains poor, with a high recurrence rate and metastatic potential. Our case underscores the importance of accurate diagnosis through comprehensive clinical, radiological, and histological evaluation, emphasizing the need for early detection and multidisciplinary management to improve outcomes in angiosarcoma patients.
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spelling doaj-art-2c45391d90dd48258aebf2f9a027ecc32025-08-20T03:05:53ZengElsevierOral and Maxillofacial Surgery Cases2214-54192025-06-0111210040310.1016/j.omsc.2025.100403Maxillary angiosarcoma: a case report and literature reviewKamdem Benedikta0Sala Nathalie1Broome Martin2May Laurence3Department of Maxillofacial Surgery, University Hospital Center of the Canton of Vaud (CHUV), Lausanne, Switzerland; Corresponding author. Service de chirurgie maxillo-faciale, Centre Hospitalier Universitaire Vaudois (CHUV), CH -1011, Lausanne, Switzerland.Department of Histopathology, University Hospital Center of the Canton of Vaud (CHUV), Lausanne, SwitzerlandDepartment of Maxillofacial Surgery, University Hospital Center of the Canton of Vaud (CHUV), Lausanne, SwitzerlandDepartment of Maxillofacial Surgery, University Hospital Center of the Canton of Vaud (CHUV), Lausanne, SwitzerlandAngiosarcoma is a rare and aggressive malignant mesenchymal neoplasia developing from endothelial cells, comprising only 2 % of soft tissues sarcomas. While primarily affecting soft tissues and skin, its occurrence in the oral cavity is exceptionally rare (1.6 %). We present the case of a 78-year-old woman with a nodular gingival lesion initially suspected as squamous cell carcinoma. Despite an uneventful postoperative course following maxillectomy, the histological examination revealed angiosarcoma. Discussion highlights the diagnostic challenges due to its varied clinical and histological presentation, often mimicking other lesions. Treatment involves complete surgical excision, followed by adjuvant chemotherapy and radiotherapy. However, the prognosis remains poor, with a high recurrence rate and metastatic potential. Our case underscores the importance of accurate diagnosis through comprehensive clinical, radiological, and histological evaluation, emphasizing the need for early detection and multidisciplinary management to improve outcomes in angiosarcoma patients.http://www.sciencedirect.com/science/article/pii/S2214541925000185
spellingShingle Kamdem Benedikta
Sala Nathalie
Broome Martin
May Laurence
Maxillary angiosarcoma: a case report and literature review
Oral and Maxillofacial Surgery Cases
title Maxillary angiosarcoma: a case report and literature review
title_full Maxillary angiosarcoma: a case report and literature review
title_fullStr Maxillary angiosarcoma: a case report and literature review
title_full_unstemmed Maxillary angiosarcoma: a case report and literature review
title_short Maxillary angiosarcoma: a case report and literature review
title_sort maxillary angiosarcoma a case report and literature review
url http://www.sciencedirect.com/science/article/pii/S2214541925000185
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AT broomemartin maxillaryangiosarcomaacasereportandliteraturereview
AT maylaurence maxillaryangiosarcomaacasereportandliteraturereview