Fulminant Hepatic Failure Secondary to Primary Hepatic Angiosarcoma

Background. Hepatic angiosarcoma is a rare and aggressive tumor that often presents at an advanced stage with nonspecific symptoms. Objective. To report a case of primary hepatic angiosarcoma in an otherwise healthy man with normal liver function tests two months prior to presenting with a short period of jaundice that progressed to fulminant hepatic failure. Methods. Case report and review of literature. Conclusion. This case illustrates the rapidity of progression to death after the onset of symptoms in a patient with hepatic angiosarcoma. Research on early diagnostic strategies and newer therapies are needed to improve prognosis in this rare and poorly understood malignancy with limited treatment options.

[1]  X. Ren,et al.  Primary hepatic angiosarcoma and potential treatment options , 2014, Journal of gastroenterology and hepatology.

[2]  F. Aucejo,et al.  Liver Transplantation for Malignancies , 2014, Journal of Gastrointestinal Cancer.

[3]  A. Burroughs,et al.  Hepatic Hemangiosarcoma: An Absolute Contraindication to Liver Transplantation—The European Liver Transplant Registry Experience , 2013, Transplantation.

[4]  M. von Mehren,et al.  An open-label, multicenter, phase II study of bevacizumab for the treatment of angiosarcoma and epithelioid hemangioendotheliomas. , 2013, Annals of oncology : official journal of the European Society for Medical Oncology.

[5]  Raúl Romero Feregrino,et al.  Angiosarcoma of the liver as a cause of fulminant liver failure , 2012, BMJ Case Reports.

[6]  Qiang Li,et al.  Primary hepatic angiosarcoma: A retrospective analysis of 6 cases , 2012, Journal of digestive diseases.

[7]  J. Blay,et al.  Sorafenib for patients with advanced angiosarcoma: a phase II Trial from the French Sarcoma Group (GSF/GETO). , 2012, The oncologist.

[8]  A. D. Dei Tos,et al.  Gemcitabine in advanced angiosarcoma: a retrospective case series analysis from the Italian Rare Cancer Network. , 2012, Annals of oncology : official journal of the European Society for Medical Oncology.

[9]  How-Ran Guo,et al.  Arsenic, vinyl chloride, viral hepatitis, and hepatic angiosarcoma: A hospital-based study and review of literature in Taiwan , 2011, BMC gastroenterology.

[10]  Bin Wang,et al.  Results of hepatic resection for primary hepatic angiosarcoma in adults. , 2010, Medical science monitor : international medical journal of experimental and clinical research.

[11]  K. Sung,et al.  Primary hepatic angiosarcoma: imaging findings and palliative treatment with transcatheter arterial chemoembolization or embolization. , 2009, Clinical radiology.

[12]  C. Poremba,et al.  Long-term survival after surgery for primary hepatic sarcoma in adults. , 2009, Archives of surgery.

[13]  Y. N. Park,et al.  Clinical features and treatment outcomes of advanced stage primary hepatic angiosarcoma. , 2009, Annals of oncology : official journal of the European Society for Medical Oncology.

[14]  F. Carballo Álvarez,et al.  Hepatic angiosarcoma. Presentation of two cases. , 2009, Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva.

[15]  C. Bhati,et al.  Acute liver failure due to primary angiosarcoma: A case report and review of literature , 2008, World journal of surgical oncology.

[16]  K. Chijiiwa,et al.  A case of hepatic angiosarcoma surviving for more than 16 months after hepatic resection. , 2007, Hepato-gastroenterology.

[17]  B. Brkljačić,et al.  Two cases of lethal complications following ultrasound-guided percutaneous fine-needle biopsy of the liver , 1996, CardioVascular and Interventional Radiology.

[18]  J. Koskinas,et al.  Acute Liver Failure as the Initial Manifestation of Hepatic Infiltration by a Solid Tumor: Report of 5 Cases and Review of the Literature , 2006, Tumori.

[19]  E. Keeffe,et al.  Fulminant hepatic failure secondary to neoplastic infiltration of the liver. , 2005, Journal of clinical gastroenterology.

[20]  Y. Hertzanu,et al.  Massive bleeding after fine needle aspiration of liver angiosarcoma , 2005, Gastrointestinal Radiology.

[21]  How-Ran Guo,et al.  Hepatic angiosarcoma presenting as hepatic rupture in a patient with long-term ingestion of arsenic. , 2004, Journal of the Formosan Medical Association = Taiwan yi zhi.

[22]  E. Molina,et al.  Clinical Manifestations of Primary Hepatic Angiosarcoma , 2003, Digestive Diseases and Sciences.

[23]  B. Nour,et al.  Unusual presentation of hepatic vascular tumors as fulminant hepatic failure. , 2002, The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology.

[24]  B. Tribout,et al.  Angiosarcoma variant of Kasabach-Merritt syndrome. , 2001, European journal of gastroenterology & hepatology.

[25]  O. Grandas,et al.  Hepatic Angiosarcoma: Long-Term Survival after Complete Surgical Removal , 2000, The American surgeon.

[26]  P. Lespi,et al.  [Hepatic angiosarcoma with disseminated intravascular coagulation]. , 1997, Medicina.

[27]  D. Williams,et al.  Occupationally related angiosarcoma of the liver in the United Kingdom 1972-1994. , 1996, Gut.

[28]  Y. Bédard,et al.  Fine‐needle aspiration biopsy of hepatic angiosarcoma: Report of a case with immunocytochemical findings , 1992, Diagnostic cytopathology.

[29]  E. Martin,et al.  Hepatic neurofibromatosis, malignant schwannoma, and angiosarcoma in von Recklinghausen's disease. , 1987, Gastroenterology.

[30]  K. Ishak,et al.  Epidemiology of hepatic angiosarcoma in the United States: 1964-1974. , 1981, Environmental health perspectives.

[31]  L. Yam,et al.  Chemotherapy of vinyl chloride‐associated hepatic angiosarcoma , 1981, Cancer.

[32]  K. Ishak,et al.  HEPATIC ANGIOSARCOMA ASSOCIATED WITH ANDROGENIC-ANABOLIC STEROIDS , 1979, The Lancet.

[33]  J. Doroshow,et al.  The Clinical Features of Hepatic Angiosarcoma: A Report of Four Cases and A Review of the English Literature , 1979, Medicine.

[34]  M. Kojiro,et al.  Localized submassive liver cell necrosis as a terminal event of liver carcinoma , 1976, Cancer.

[35]  K. Taylor,et al.  The Hepatobiliary System , 1976, NATO Advanced Study Institutes Series.

[36]  R. Tattersall,et al.  Diabets in identical twins , 1972 .

[37]  C. S. Swan A Presentation of Two Cases , 1932 .