Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review

Background: Angiosarcomas are highly aggressive malignancies with endothelial differentiation, presenting considerable challenges in oncology, especially when arising in rare locations such as the spleen. These tumors predominantly affect adults and are commonly found in the skin, breast, liver, or...

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Main Authors: Jakub Misiak, Bernard Sokołowski, Norbert Skrobisz, Mateusz Matczak, Marcin Braun
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Hematology Reports
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Online Access:https://www.mdpi.com/2038-8330/16/4/63
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author Jakub Misiak
Bernard Sokołowski
Norbert Skrobisz
Mateusz Matczak
Marcin Braun
author_facet Jakub Misiak
Bernard Sokołowski
Norbert Skrobisz
Mateusz Matczak
Marcin Braun
author_sort Jakub Misiak
collection DOAJ
description Background: Angiosarcomas are highly aggressive malignancies with endothelial differentiation, presenting considerable challenges in oncology, especially when arising in rare locations such as the spleen. These tumors predominantly affect adults and are commonly found in the skin, breast, liver, or soft tissues, with more unusual occurrences in other organs. Angiosarcomas have a high propensity for metastasis, typically spreading to the liver, lungs, lymph nodes, and gastrointestinal tract. Splenic angiosarcoma, with fewer than 300 documented cases, is an especially rare and complex form of this malignancy. Case presentation: This report details a case of splenic angiosarcoma in a 45-year-old male, where bone marrow metastases were the first clinical presentation, initially mimicking myelodysplastic syndrome (MDS) due to persistent pancytopenia. Conclusions: The eventual identification of the splenic origin underscores the diagnostic difficulties and clinical challenges inherent in managing such atypical and rare presentations.
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series Hematology Reports
spelling doaj-art-dc0c369a5eca4bc1a3811c46f79158a92024-12-27T14:28:41ZengMDPI AGHematology Reports2038-83302024-10-0116464865510.3390/hematolrep16040063Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature ReviewJakub Misiak0Bernard Sokołowski1Norbert Skrobisz2Mateusz Matczak3Marcin Braun4Department of Pathology, Chair of Oncology, Medical University of Lodz, 92-213 Lodz, PolandDepartment of Pathology, Chair of Oncology, Medical University of Lodz, 92-213 Lodz, PolandDepartment of Pathology, Chair of Oncology, Medical University of Lodz, 92-213 Lodz, PolandDepartment of Pathology, Chair of Oncology, Medical University of Lodz, 92-213 Lodz, PolandDepartment of Pathology, Chair of Oncology, Medical University of Lodz, 92-213 Lodz, PolandBackground: Angiosarcomas are highly aggressive malignancies with endothelial differentiation, presenting considerable challenges in oncology, especially when arising in rare locations such as the spleen. These tumors predominantly affect adults and are commonly found in the skin, breast, liver, or soft tissues, with more unusual occurrences in other organs. Angiosarcomas have a high propensity for metastasis, typically spreading to the liver, lungs, lymph nodes, and gastrointestinal tract. Splenic angiosarcoma, with fewer than 300 documented cases, is an especially rare and complex form of this malignancy. Case presentation: This report details a case of splenic angiosarcoma in a 45-year-old male, where bone marrow metastases were the first clinical presentation, initially mimicking myelodysplastic syndrome (MDS) due to persistent pancytopenia. Conclusions: The eventual identification of the splenic origin underscores the diagnostic difficulties and clinical challenges inherent in managing such atypical and rare presentations.https://www.mdpi.com/2038-8330/16/4/63splenic angiosarcomabone marrow metastasespancytopeniamyelodysplastic syndrome
spellingShingle Jakub Misiak
Bernard Sokołowski
Norbert Skrobisz
Mateusz Matczak
Marcin Braun
Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
Hematology Reports
splenic angiosarcoma
bone marrow metastases
pancytopenia
myelodysplastic syndrome
title Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
title_full Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
title_fullStr Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
title_full_unstemmed Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
title_short Pancytopenia Related to Splenic Angiosarcoma: A Case Report and Literature Review
title_sort pancytopenia related to splenic angiosarcoma a case report and literature review
topic splenic angiosarcoma
bone marrow metastases
pancytopenia
myelodysplastic syndrome
url https://www.mdpi.com/2038-8330/16/4/63
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AT bernardsokołowski pancytopeniarelatedtosplenicangiosarcomaacasereportandliteraturereview
AT norbertskrobisz pancytopeniarelatedtosplenicangiosarcomaacasereportandliteraturereview
AT mateuszmatczak pancytopeniarelatedtosplenicangiosarcomaacasereportandliteraturereview
AT marcinbraun pancytopeniarelatedtosplenicangiosarcomaacasereportandliteraturereview