Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis

Thyroid angiosarcoma is an uncommon thyroid carcinoma and its incidence is the highest in the European Alpine regions. Thyroid angiosarcoma is also a very aggressive tumor that can rapidly spread to the cervical lymph nodes, lungs, and brain or can metastasize to the duodenum, small boewl, and large...

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Main Authors: Nadia Innaro, Elena Succurro, Giuseppe Tomaino, Franco Arturi
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/901246
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author Nadia Innaro
Elena Succurro
Giuseppe Tomaino
Franco Arturi
author_facet Nadia Innaro
Elena Succurro
Giuseppe Tomaino
Franco Arturi
author_sort Nadia Innaro
collection DOAJ
description Thyroid angiosarcoma is an uncommon thyroid carcinoma and its incidence is the highest in the European Alpine regions. Thyroid angiosarcoma is also a very aggressive tumor that can rapidly spread to the cervical lymph nodes, lungs, and brain or can metastasize to the duodenum, small boewl, and large bowel. Although it is histologically well defined, clear-cut separation between the angiosarcoma and anaplastic thyroid carcinoma is difficult. A 49-year-old Caucasian female patient, born and resident in Southern Italy (Calabria), in an iodine-sufficient area, was admitted to the Surgery Department because she presented with a painless mass in the anterior region of neck enlarged rapidly in the last three months. After total thyroidectomy and right cervical lymphadenectomy, postoperative histological examination revealed the presence of a thyroid angiosarcoma with positive staining for CD31 and for both Factor VIII-related antigen and Vimentin and only partially positive for staining pancytokeratin and presence of metastasis in cervical, supraclavicular, mediastinal and paratracheal lymph nodes. The patient started adjuvant chemotherapy and she was treated for 6 cycles with Doxorubicin, Dacarbazine, Ifosfamide, and Mesna (MAID). After 22 months from surgery, the patient is still alive without both local and systemic recurrence of the disease.
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spelling doaj-art-b6b10f512d6646cfb52beb728ea602182025-02-03T01:09:12ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/901246901246Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto ThyroiditisNadia Innaro0Elena Succurro1Giuseppe Tomaino2Franco Arturi3Department of Surgery, Policlinico “Mater Domini” of Catanzaro, Campus Universitario, Viale Europa, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University “Magna Graecia” of Catanzaro Policlinico “Mater Domini”, Campus Universitario, Viale Europa, 88100 Catanzaro, ItalyDepartment of Surgery, Policlinico “Mater Domini” of Catanzaro, Campus Universitario, Viale Europa, 88100 Catanzaro, ItalyDepartment of Medical and Surgical Sciences, University “Magna Graecia” of Catanzaro Policlinico “Mater Domini”, Campus Universitario, Viale Europa, 88100 Catanzaro, ItalyThyroid angiosarcoma is an uncommon thyroid carcinoma and its incidence is the highest in the European Alpine regions. Thyroid angiosarcoma is also a very aggressive tumor that can rapidly spread to the cervical lymph nodes, lungs, and brain or can metastasize to the duodenum, small boewl, and large bowel. Although it is histologically well defined, clear-cut separation between the angiosarcoma and anaplastic thyroid carcinoma is difficult. A 49-year-old Caucasian female patient, born and resident in Southern Italy (Calabria), in an iodine-sufficient area, was admitted to the Surgery Department because she presented with a painless mass in the anterior region of neck enlarged rapidly in the last three months. After total thyroidectomy and right cervical lymphadenectomy, postoperative histological examination revealed the presence of a thyroid angiosarcoma with positive staining for CD31 and for both Factor VIII-related antigen and Vimentin and only partially positive for staining pancytokeratin and presence of metastasis in cervical, supraclavicular, mediastinal and paratracheal lymph nodes. The patient started adjuvant chemotherapy and she was treated for 6 cycles with Doxorubicin, Dacarbazine, Ifosfamide, and Mesna (MAID). After 22 months from surgery, the patient is still alive without both local and systemic recurrence of the disease.http://dx.doi.org/10.1155/2013/901246
spellingShingle Nadia Innaro
Elena Succurro
Giuseppe Tomaino
Franco Arturi
Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
Case Reports in Oncological Medicine
title Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
title_full Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
title_fullStr Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
title_full_unstemmed Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
title_short Nonalpine Thyroid Angiosarcoma in a Patient with Hashimoto Thyroiditis
title_sort nonalpine thyroid angiosarcoma in a patient with hashimoto thyroiditis
url http://dx.doi.org/10.1155/2013/901246
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AT elenasuccurro nonalpinethyroidangiosarcomainapatientwithhashimotothyroiditis
AT giuseppetomaino nonalpinethyroidangiosarcomainapatientwithhashimotothyroiditis
AT francoarturi nonalpinethyroidangiosarcomainapatientwithhashimotothyroiditis